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.

Cureus
|April 27, 2026
PubMed
Summary

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.