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Updated: May 12, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Endoscopic closure of postoperative anastomotic leakage with endoclips and detachable snares
Jung Yoon1, Hong Sik Lee, Jong Jin Hyun
1Department of Internal Medicine, Division of Gastroenterology and Hepatology, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea.
Abstract:
Anastomotic leakage, although uncommon, is a life-threatening complication and requires prompt recognition and treatment. Surgical closure has been recommended for defects that are large and symptomatic. However, recent reports on successful endoscopic closure of anastomotic leakage suggest that endoscopic techniques may be a feasible alternative to surgical approaches in patients with comorbid conditions that are not suitable for undergoing second operation or for those who refuse to be reoperated. Herein, we describe a case of postoperative gastrojejunal anastomotic leakage that was successfully treated with endoscopic closure using endoclips and detachable snares.
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