Related Experiment Video
Updated: Mar 14, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Endoscopic vacuum therapy in the upper gastrointestinal tract
Kirsten Boonstra1, Lisanne M D Pattynama2,3,4,5, Yasmijn J van Herwaarden1
1Radboud University Medical Center, Department of Gastroenterology and Hepatology, Nijmegen, Netherlands.
Abstract:
Endoscopic vacuum therapy (EVT) is a promising and versatile intervention for managing transmural defects in the upper gastrointestinal tract. Despite challenges, EVT exhibits great efficacy and safety, emphasizing the need for standardized protocols and evidence-based practices. We provide an overview, including mechanism, indications, types of EVT devices and complications, guiding clinicians in decision-making. Common challenges in EVT are highlighted, facilitating adequate implementation of EVT and helping to avoid common mistakes in daily practice.
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