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Updated: May 16, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
A technique to prevent duodenal blowout after difficult gastrectomies
R Shankar Raman1, Vikram Kate, N Ananthakrishnan
1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, II A, Vairam Enclave, Sithananda Nagar, Pondicherry, India.
Abstract:
A simple technique of decompressing the duodenum following difficult gastrectomies is described which can be applied across the country to reduce the incidence of this serious complication. The procedure has been used in 120 patients with no instance of duodenal blowout.
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