Related Experiment Video
Updated: Apr 4, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Endoscopic Treatment of Gastrointestinal Perforations, Leaks, and Fistulae
Tarun Rustagi1, Thomas R McCarty, Harry R Aslanian
1*Department of Internal Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN †Department of Internal Medicine ‡Section of Digestive Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
Abstract:
Gastrointestinal leaks and fistulae are common postoperative complications, whereas intestinal perforation more commonly complicates advanced endoscopic procedures. Although these complications have classically been managed surgically, there exists an ever-expanding role for endoscopic therapy and the involvement of advanced endoscopists as part of a multidisciplinary team including surgeons and interventional radiologists. This review will serve to highlight the innovative endoscopic interventions that provide an expanding range of viable endoscopic approaches to the management and therapy of gastrointestinal perforation, leaks, and fistulae.
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