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Updated: Mar 17, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
[Endoscopic Therapy for Esophageal Cancer]
Makoto Sakai1, Hiroyuki Kuwano
1Department of General Surgical Science, Gunma University, Graduate School of Medicine, Maebashi, Japan.
Endoscopic treatments like resection, argon plasma coagulation (APC), photodynamic therapy (PDT), and stenting offer effective, less invasive options for esophageal neoplasms. These minimally invasive techniques are crucial for managing superficial cancers and palliative care.
Area of Science:
- Gastroenterology
- Oncology
- Endoscopy
Background:
- Esophageal neoplasms present significant treatment challenges.
- Minimally invasive endoscopic techniques are evolving for esophageal cancer management.
Purpose of the Study:
- To review current endoscopic treatment modalities for esophageal neoplasms.
- To highlight the efficacy and applications of various endoscopic interventions.
Main Methods:
- Review of established endoscopic procedures including resection, APC, PDT, and stent placement.
- Analysis of their roles in treating superficial esophageal carcinoma, recurrence, and obstruction.
Main Results:
- Endoscopic resection is a primary treatment for superficial esophageal carcinoma.
- APC and PDT are effective for unresectable or recurrent lesions and as salvage therapy.
- Stent placement provides palliative care for malignant esophageal obstruction.
Conclusions:
- Endoscopic treatments are vital, less invasive options for esophageal neoplasms.
- These techniques offer solutions for curative and palliative management.
- Endoscopic interventions are expected to play an increasingly significant role in future esophageal cancer treatment.
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