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CC BY 4.0 · Journal of Digestive Endoscopy 2025; 16(03): 174-176
DOI: 10.1055/s-0045-1811523
News and Views

Endoscopic Vacuum Therapy: A Boon for the Patients with Post-surgical Anastomotic Site Leaks

Aditya Kale
1   Department of Digestive Diseases and Clinical Nutrition, Advanced Centre for Treatment, Research and Education in Cancer, Kharghar and Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India
2   Gastrointestinal Disease Management Group, TMH, Mumbai, Maharashtra, India
,
Sukanya Thakur
3   Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Vaneet Jearth
3   Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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Abstract

Postoperative leaks remain a significant clinical problem with high morbidity and mortality. Traditionally, image-guided pigtail drain placement for collections, feeding tube placement for nutrition, clips or clip–loop combinations for defect closure, surgical repair with buttressing, excision of esophageal conduit and colonic interposition for esophageal leaks, colostomy, and revision of anastomosis for colorectal leaks are often employed. Recently, endoscopic vacuum therapy has gained popularity due to being a minimally invasive, safe, and effective therapeutic option. In this news and views, we will review studies and literature related to this topic.

Keywords

leaks - endoscopic vacuum therapy - complications - perforation


Publication History

Article published online:
22 August 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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