Title: Management of esophageal perforations in infants by endoscopic vacuum therapy – a
single center case series
Version: 1 Date: 12 Apr 2022
Reviewer:  C Jason Smithers
Reviewer's report:
I think this is a very nice report, and important for the literature.
A couple of observations...
I am curious about "general anesthesia being maintained for the complete time of ongoing EVT
by a team of pediatricians and anesthesiologists."   We have generally  kept patients awake and
with minimal sedation when we have used esophageal vacuum therapy in infants and children.
We have found that the EVT is pretty difficult to dislodge if the suction is maintained.
I am also curious about the short intervals between exchanges, did you also try longer periods
but had trouble.  We have generally exchanged them every 5-7 days.
Title: Management of esophageal perforations in infants by endoscopic vacuum therapy – a
single center case series
Version: 1 Date: 12 Apr 2022
Reviewer:  C Jason Smithers
Reviewer's report:
I think this is a very nice report, and important for the literature.
A couple of observations...
I am curious about "general anesthesia being maintained for the complete time of ongoing EVT
by a team of pediatricians and anesthesiologists."   We have generally  kept patients awake and
with minimal sedation when we have used esophageal vacuum therapy in infants and children.
We have found that the EVT is pretty difficult to dislodge if the suction is maintained.
I am also curious about the short intervals between exchanges, did you also try longer periods
but had trouble.  We have generally exchanged them every 5-7 days.
Please review this paper.
user
Title: Management of esophageal perforations in infants by endoscopic vacuum therapy – a
single center case series
Version: 1 Date: 12 Apr 2022
Reviewer:  C Jason Smithers
Reviewer's report:
I think this is a very nice report, and important for the literature.
A couple of observations...
I am curious about "general anesthesia being maintained for the complete time of ongoing EVT
by a team of pediatricians and anesthesiologists."   We have generally  kept patients awake and
with minimal sedation when we have used esophageal vacuum therapy in infants and children.
We have found that the EVT is pretty difficult to dislodge if the suction is maintained.
I am also curious about the short intervals between exchanges, did you also try longer periods
but had trouble.  We have generally exchanged them every 5-7 days.
assistant