Applications of endoscopic vacuum therapy in the upper gastrointestinal tract  

作　　者：Konstantinos Kouladouros 

机构地区：[1]Central Interdisciplinary Endoscopy,Surgical Clinic,Mannheim University Hospital,University of Heidelberg,Mannheim 68167,Baden-Wuerttemberg,Germany

出　　处：《World Journal of Gastrointestinal Endoscopy》2023年第6期420-433,共14页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：Endoscopic vacuum therapy(EVT)is an increasingly popular treatment option for wall defects in the upper gastrointestinal tract.After its initial description for the treatment of anastomotic leaks after esophageal and gastric surgery,it was also implemented for a wide range of defects,including acute perforations,duodenal lesions,and postbariatric complications.Apart from the initially proposed handmade sponge inserted using the“piggyback”technique,further devices were used,such as the commercially available EsoSponge and VAC-Stent as well as open-pore film drainage.The reported pressure settings and intervals between the subsequent endoscopic procedures vary greatly,but all available evidence highlights the efficacy of EVT,with high success rates and low morbidity and mortality,so that in many centers it is considered to be a first-line treatment,especially for anastomotic leaks.

关 键 词：Negative pressure therapy Vacuum therapy Anastomotic leak PERFORATION OESOPHAGUS STENT 

分 类 号：R57[医药卫生—消化系统]