Endoscopic vacuum therapy significantly improves clinical outcomes of anastomotic leakages after 2-stage, 3-stage, and transhiatal esophagectomies

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SUMMARY

    At the University Hospital Regensburg, eVAC therapy was introduced in 2014/2015 and has been the mainstay of treatment in all patients that developed an anastomotic leakage after esophageal resections with gastric pull-up reconstruction since 2017. Patients were included in the eVAC cohort, if at least one complete cycle of eVAC therapy (3-4 days) was performed. Other treatment modalities such as placement of fully covered self-expanding metal stents (fcSEMS), external drainage tubes, or initial watch-and-wait therapy could be part of the overall treatment concept in the eVAC cohort, given . . .

     

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