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Updated: Jan 5, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
[Endoscopic treatment of esophageal anastomotic leakage using vacuum-assisted closure system]
Yu G Starkov1, M I Vybornyi1, D V Ruchkin1
1Vishnevsky National Medical Research Center for Surgery of the Russia, Moscow, Russia.
Objective:
To analyze the effectiveness of vacuum-assisted closure system for esophageal anastomotic leakage.
Material And Methods:
There were 10 patients with upper gastrointestinal anastomotic leakage who were treated at our institution in 2015-2018. Vacuum aspiration system was applied in all cases.
Results:
Esophageal wall defect was successfully closed in 9 out of 10 patients after 2-4 courses and the system was eliminated in 11 days on the average. Localized cavity with granulation tissue developed in 1 patient after 5 courses and the system was also eliminated.
Conclusion:
Endoscopic vacuum-assisted therapy is an innovative, minimally invasive, economically profitable and successful method for anastomotic leakage. This procedure should be taken into consideration and widely used in multi-field hospitals.
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