The options in the treatment of postoperative leaks of the upper gastrointestinal tract.

The mortality of anastomotic leakage following esophageal reconstruction ha s been reported to be as high as 60 %. For the treatment of these dehiscenc es the use of endoscopy is a tempting option. The standard treatment consis ted of endoscopic lavage, drainage and subsequent closure of the leak by ap plication of fibrin glue. 2 patients was tried with a novel approach permit ting rapid closure by plugging the fistula with a vicryl cylinder Endoscopi c management of postoperative leaks of the upper gastrointestinal tract rep resents a safe and relatively gentle therapeutic option.