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Updated: Mar 24, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
[Surgical treatment of patients with enteric fistulae]
A G Krieger1, V A Kubyshkin1, S V Berelavichus1
1A.V. Vishnevsky Institute of Surgery, Health Ministry of the Russian Federation, Moscow.
Aim:
To create multidisciplinary diagnostic and curative approach to patients with intestinal fistulae.
Material And Methods:
Additional nutritive support was applied in all patients preoperatively. 35 patients with intestinal fistulae were operated. Unformed and formed intestinal fistulae were observed in 10 and 25 patients respectively. Radical one-stage surgery was performed in 30 cases, two-stage - in 3 patients. Unformed fistulae opened into granulating wound were not eliminated in 2 patients.
Results:
Postoperative complications were observed in 10 patients. 2 of them required re-intervention. There were no deaths.
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