Stenting Versus Endoscopic Vacuum Therapy for Anastomotic Leakage After Esophago-Gastric Surgery.

ABSTRACT: Background: Anastomotic leakage (AL) is a major complication after esophago-gastric surgery, with incidence rates of 11-21% and mortality up to 14%. Early intervention is essential to reduce morbidity. Endoscopic treatments have advanced, with self-expandable metal stents (SEMSs) as the traditional standard (success ~90%), but they carry risks like migration, stenosis, and need for drainage. Endoscopic vacuum therapy (EVT), applying negative pressure to drain secretions and promote healing, has shown success rates of 66-100%. Limited comparative data exists from small retrospective studies. This study compares SEMS and EVT for safety and efficacy in AL management. Methods: A retrospective case-control study from a prospective database at our institution was performed (March 2

SUBMITTER: Riva CG 

PROVIDER: S-EPMC12525109 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature