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Updated: Apr 28, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Successful Closure of Multiple Post-bariatric Surgery Fistulas Using Modified Internal and External Endoscopic Vacuum
John A Lata Guacho1,2,3,4,5, Marcelo Simas de Lima6, José A Sánchez León7
1Gastroenterology, Eugenio Espejo Specialty Hospital, Quito, ECU.
Modified endoscopic vacuum therapy (EVT) effectively closed complex fistulas after bariatric surgery. This low-cost approach, using readily available supplies, offers a promising solution for resource-limited settings.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Endoscopy
Background:
- Bariatric surgery complications include leaks and fistulas, leading to sepsis and malnutrition.
- Endoscopic vacuum therapy (EVT) is an effective treatment for upper gastrointestinal transmural defects.
- Low-cost EVT modifications enhance applicability in resource-limited settings.
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