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Updated: Jul 5, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Medical malpractice in gastroenterology.

Laurie S Conklin¹, Catherine Bernstein, Lori Bartholomew

¹Division of Pediatric Gastroenterology and Nutrition, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association

|May 6, 2008

Summary

Gastroenterology malpractice claims are uncommon, with most related to diagnosis errors, not procedures. Physicians with prior claims are more likely to face future claims, highlighting practice review needs.

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Last Updated: Jul 5, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Area of Science:

Medical Malpractice Law
Gastroenterology Practice Management

Background:

Gastroenterologists often perceive high legal risk due to invasive procedures.
Limited published data exists on gastroenterology (GI) malpractice claims.

Purpose of the Study:

To analyze available malpractice claim data specifically within the field of gastroenterology.
To compare the frequency and nature of GI malpractice claims with other medical subspecialties.

Main Methods:

Database analysis of GI malpractice claims from the Physician Insurers Association of America Data Sharing Project (1985-2005).
Comparative analysis of GI claims versus other subspecialties in 2005.

Main Results:

Gastroenterology accounted for only 1.8% of total malpractice claims in 2005.
Errors in diagnosis (28%) and improper procedure performance (25%) were the leading claim allegations.
Physicians with prior claims experience were more likely to be involved in subsequent claims.

Conclusions:

Gastroenterology has a relatively low ranking in malpractice claims compared to other subspecialties.
A minority of GI malpractice claims are directly related to procedural errors.
Physicians with a history of malpractice claims should proactively review their practice patterns.