Complications - Eso-SPONGE® – Endoluminal vacuum treatment in staple line failure and perforations of the upper GI tract

  1. Complications

    To date, there have only been isolated reports of major treatment-associated complications. Potential risks include bleeding from vascular erosion and onset of esophagobronchial fistula.

    Minor problems tend to be of a technical nature:

    • Oral sponge displacement after accidental traction on the drainage tube
    • Partial blockage of the sponge resulting in inadequate suction
    • Detachment of the sponge from the drainage tube during system replacement; extract with an endoscopic grasper.

    Tip: Turn off the suction for a few hours prior to elective sponge replacement to facilitate sponge extraction.