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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: May 14, 2026

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

J Wedemeyer1, T Lankisch

  • 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
PubMed
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.

More Related Videos

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Related Experiment Videos

Last Updated: May 14, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

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

Published on: August 22, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

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.