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Updated: May 14, 2026
04:05
Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
[Endoscopic vacuum-assisted closure]
1Medizinische Klinik I - Schwerpunkt Gastroenterologie und Hepatologie, Klinikum Robert Koch Gehrden, Klinikum Region Hannover GmbH, Von-Reden-Str. 1, 30989, Gehrden, Deutschland. jochen.wedemeyer@krh.eu
Der Internist
|February 23, 2013
Summary
Endoscopic vacuum-assisted closure (E-VAC) offers a novel endoscopic treatment for intestinal anastomotic leaks. This technique effectively manages infected cavities, promoting healing and wound closure.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Endoscopic Therapeutics
Context:
- Anastomotic leakage is a severe complication of intestinal surgery, leading to high morbidity and mortality.
- Endoscopic treatments have gained acceptance for managing these surgical complications over the past decade.
- Endoscopic vacuum-assisted closure (E-VAC) represents an innovative endoscopic therapeutic option.
Purpose:
- To introduce and describe the Endoscopic Vacuum-Assisted Closure (E-VAC) technique.
- To explain the mechanism of E-VAC in treating endoscopic cavities.
- To highlight the application of E-VAC in managing anastomotic leakage and necrotic pancreatitis.
Summary:
- E-VAC applies the principles of vacuum-assisted closure (VAC) to infected cavities accessible via endoscopy.
- An endoscopic sponge and drainage system connected to continuous vacuum removes infected fluids and promotes granulation.
- This method cleans the wound bed, facilitating eventual wound closure.
Impact:
- E-VAC provides a minimally invasive treatment for complex anastomotic leaks.
- The technique has demonstrated success in promoting healing of infected endoscopic cavities.
- Successful application in treating necrotic pancreatitis expands its therapeutic potential.
