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Updated: Jan 10, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
[Minimally invasive technologies in the treatment of spontaneous esophageal rupture]
E B Nikolaeva1, K M Rabadanov1, E V Tatarinova1
1Sklifosovsky Research Institute for Emergency Care, Moscow, Russia.
Objective:
To determine the indications for minimally invasive technologies in patients with spontaneous esophageal rupture (SRE).
Material And Methods:
We analyzed treatment outcomes in 27 patients with SRE between 2017 and 2023. They underwent minimally invasive treatment: videothoracoscopy, endoscopic vacuum treatment (EVT), percutaneous endoscopic gastrostomy.
Results:
EVT eliminated purulent process and provided primary healing of esophageal defect in 11 (40.4%) patients. Complications occurred in 16 (59.67%) patients, including fistulas (9; 33.3%) and esophageal stenosis within the perforation zone (5; 18.5%). Seven (25.9%) patients died.
Conclusion:
Endoscopic vacuum treatment combined with videothoracoscopy and endoscopic gastrostomy in patients with spontaneous esophageal rupture is an effective minimally invasive method of treatment.
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