Prophylactic negative vacuum therapy of high-risk esophageal anastomoses in pediatric patients

Yasuda, Jessica L.; Svetanoff, Wendy Jo; Staffa, Steven J.; Zendejas, Benjamin; Hamilton, Thomas E.; Jennings, Russell W.; Ngo, Peter; Smithers, C. Jason; Manfredi, Michael A.

doi:10.1016/j.jpedsurg.2020.12.002

Cited by 6 publications

(1 citation statement)

References 24 publications

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“…In the case of high-risk findings during control-endoscopy, including visible suture material, fibrin, and ischemia, EVT was prolonged, otherwise it was terminated. The reported anastomotic leak rates varied between 0%-7.5%, which is lower than usually reported, but the series was small and there was no control group to verify its positive effects[ 65 , 93 , 95 , 96 ]. Therefore, preemptive EVT still remains an attractive theory, but further data is required to prove its efficacy and determine the patient groups that could profit from it.…”

Section: Preemptive Evtmentioning

confidence: 96%

Applications of endoscopic vacuum therapy in the upper gastrointestinal tract

Kouladouros¹

2023

World J Gastrointest Endosc

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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.

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