Applications of endoscopic vacuum therapy in the lower gastrointestinal tract: Tips and tricks and a review of the literature

IF 3.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
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引用次数: 0

Abstract

Endoscopic vacuum therapy (EVT) is an established technique for the treatment of rectal wall defects and especially anastomotic leaks. A wide range of EVT devices, both handmade and commercially available, allow for their successful placement even in small defects and difficult localizations. Reported success rates range between 85 and 97 %, while periintervenional morbidity is low and major adverse events are very rare. EVT has proven its effectiveness in the lower gastrointestinal tract and is now considered first line treatment for pelvic anastomotic leaks. This narrative review summarizes the current literature on EVT in the lower gastrointestinal tract, focusing on its indications, technical aspects and results, and offers tips and tricks for its clinical applications.

下消化道内窥镜真空疗法的应用:技巧和方法以及文献综述
内窥镜真空治疗(EVT)是一种治疗直肠壁缺损,尤其是吻合口漏的成熟技术。目前有多种手工制造和市场上销售的 EVT 装置,即使在小缺损和难以定位的情况下也能成功置入。据报道,成功率在 85% 到 97% 之间,而围术期的发病率很低,重大不良事件也非常罕见。EVT在下消化道的有效性已得到证实,目前已被视为盆腔吻合口漏的一线治疗方法。这篇叙述性综述总结了目前有关下消化道 EVT 的文献,重点介绍了其适应症、技术方面和效果,并提供了临床应用的技巧和窍门。
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来源期刊
CiteScore
5.50
自引率
0.00%
发文量
23
审稿时长
69 days
期刊介绍: Each topic-based issue of Best Practice & Research Clinical Gastroenterology will provide a comprehensive review of current clinical practice and thinking within the specialty of gastroenterology.
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