Applications of endoscopic vacuum therapy in the lower gastrointestinal tract: Tips and tricks and a review of the literature

被引：1

作者：

Kouladouros, Konstantinos ^{[1
]}

机构：

[1] Charite Univ Med Berlin, Dept Hepatol & Gastroenterol, Campus Virchow Klinikum, Cent Interdisciplinary Endoscopy, Augustenburger Pl 1, D-13353 Berlin, Germany

来源：

BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY | 2024年 / 70卷

关键词：

Anastomotic leak; Rectal surgery; Perforation; Negative pressure therapy; ANASTOMOTIC LEAKAGE; RECTAL-CANCER; ANTERIOR RESECTION; CLOSURE; MANAGEMENT;

D O I：

10.1016/j.bpg.2024.101927

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Endoscopic vacuum therapy (EVT) is an established technique for the treatment of rectal wall defects and especially anastomotic leaks. A wide range of EVT devices, both handmade and commercially available, allow for their successful placement even in small defects and difficult localizations. Reported success rates range between 85 and 97 %, while periintervenional morbidity is low and major adverse events are very rare. EVT has proven its effectiveness in the lower gastrointestinal tract and is now considered first line treatment for pelvic anastomotic leaks. This narrative review summarizes the current literature on EVT in the lower gastrointestinal tract, focusing on its indications, technical aspects and results, and offers tips and tricks for its clinical applications.

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页数：6

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