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

Christian Alexander GutschowChristoph SchlagDiana Vetter
Published in: Langenbeck's archives of surgery (2022)
There is growing evidence that the efficacy of EVT for upper GI leakages exceeds that of other interventional treatment modalities such as self-expanding metal stents, clips, or simple drainages. Owing to the promising results and the excellent risk profile, EVT has become the therapy of choice for perforations and anastomotic leakages of the upper gastrointestinal tract in many centers of expertise. In addition, recent clinical research suggests that preemptive use of EVT after high-risk upper gastrointestinal resections may play an important role in reducing postoperative morbidity.
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