Endoscopic vacuum therapy in the upper gastrointestinal tract: when and how to use it - Takeaways - MDSpire

Endoscopic vacuum therapy in the upper gastrointestinal tract: when and how to use it

  • By

  • Christian A. Gutschow

  • Christoph Schlag

  • Diana Vetter

  • January 18, 2022

  • 0 min

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  • 1

    Endoscopic vacuum therapy (EVT) is a technique that creates a negative pressure environment to treat transmural wall defects in the upper gastrointestinal tract.

  • 2

    EVT is increasingly recognized as a standard treatment for complications like anastomotic leakage after upper GI surgeries, with high success and low complication rates.

  • 3

    The EsoSponge® system, introduced in 2014, has standardized EVT in the foregut, addressing the need for certified technical solutions in this area.

  • 4

    EVT promotes wound healing through mechanisms like drainage of infected fluids, reduction of edema, and stimulation of microcirculation and angiogenesis.

  • 5

    Limitations of EVT include challenges in the proximal esophagus and gastric lesions, as well as the need for frequent endoscopic procedures and dietary restrictions.

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