Endoscopic Vacuum Therapy (EVT) versus Self-Expandable Metal Stent (SEMS) for Anastomotic Leaks after Upper Gastrointestinal Surgery: Systematic Review and Meta-Analysis.
Francesco Vito MandarinoAlberto BarchiFerdinando D'AmicoLorella FantiFrancesco AzzoliniEdi VialeDario EspositoRiccardo RosatiGionata FiorinoWillem Adrianus BemelmanUgo ElmoreLavinia BarbieriFrancesco PuccettiSabrina Gloria Giulia TestoniSilvio DanesePublished in: Life (Basel, Switzerland) (2023)
Overall, EVT has been revealed to be more effective and less burdened by complications compared to stenting. In the oncologic surgery subgroup analysis, efficacy rates were similar between the two groups. Further prospective data need to define a unique management algorithm for anastomotic leaks.
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