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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.
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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.
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3
The EsoSponge® system, introduced in 2014, has standardized EVT in the foregut, addressing the need for certified technical solutions in this area.
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4
EVT promotes wound healing through mechanisms like drainage of infected fluids, reduction of edema, and stimulation of microcirculation and angiogenesis.
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Limitations of EVT include challenges in the proximal esophagus and gastric lesions, as well as the need for frequent endoscopic procedures and dietary restrictions.