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Updated: Nov 1, 2025

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
[Stoma-associated complications-Prevention strategy and treatment concepts]
Georgi Kalev1, Christoph Marquardt1, Thomas Schiedeck2
1Klinik für Allgemein‑, Viszeral‑, Thorax- und Kinderchirurgie Klinikum Ludwigsburg, Posilipostraße 4, 71640, Ludwigsburg, Deutschland.
Abstract:
Postoperative complications after the creation of an intestinal stoma have a considerable impact on the patient's quality of life. The accurate surgical technique is very important for their prevention and requires profound surgical knowledge as well as sufficient experience. The importance of the preoperative consultation as well as the postoperative care by stoma therapists is clearly proven. Depending on the severity of the complication, outpatient conservative treatment is initially indicated. A surgical local revision or laparotomy should only be considered if conservative treatment is no longer sufficient, whereby the indications for surgery should be set very cautiously. This article provides an overview of the current evidence regarding the prevention and treatment of postoperative stoma complications.
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