Journal
ANTICANCER RESEARCH
Volume 38, Issue 10, Pages 5581-5587Publisher
INT INST ANTICANCER RESEARCH
DOI: 10.21873/anticanres.12892
Keywords
Endoscopic vacuum therapy; endoscopic vacuum-assisted closure system; EVAC; endoscopic negative pressure therapy; ENPT; intraluminal; intracavitary; negative pressure wound therapy; NPWT; anastomotic leakage; nasogastric tube; mediastinitis; intrathoracic abscess; review
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Background/Aim: Endoscopic vacuum-assisted closure therapy (EVAC) is a promising new technique for repairing upper gastrointestinal defects of different etiologies. As of 2018, however, no standardized recommendation exists. This article reviewed EVAC in treating anastomotic leakage following major resective surgery of esophageal (EC) and gastric cancer (GC). Materials and Methods: Only English-language literature was investigated. Only studies or data on EC and GC were included. Seven popular search engines (PubMed, Web of Science, ScienceDirect, Scopus, Google Scholar, ResearchGate, PubFacts) were utilized. Results: A total of 29 studies (17 retrospective, six prospective and six case reports) with a total of 209 patients. Range of anastomotic leakage closure was 66.7-100%. Anastomotic stricture was the most frequent long-term related complication (18 cases). Conclusion: EVAC appears to be an extremely useful treatment for postsurgical anastomotic leakage in patients with EC/GC. Almost all kinds of anastomotic leakage (silent to symptomatic, small to large) seem to be amenable to this technique.
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