Large anastomotic leakage is always a surgical matter: A big leak repaired with a special stent

Introduction: Intrathoracic esophagogastric anastomotic leakage is a life-threatening condition, with high postoperative mortality. In last decade, endoscopic treatment options, such as stent placement, have been tried to repair these leaks with good outcomes. the size of the leakages is an important factor to select patients that can benefit from stent placement. case report: We report a case of a very large anastomotic leak occurred after surgery for adenocarcinoma of the cardia, repaired with endoscopic insertion of an especially designed stent. conclusion: temporary stent placement is an effective and reliable method to repair post surgical esophagogastric anastomotic leaks. Limits such as stent migration and size of the leaks can be overcome by the choice of the proper stent.