Zusammenfassung
Anastomosenleckagen stellen gefürchtete postoperative Komplikationen dar und sind mit hoher Morbidität und Mortalität vergesellschaftet. Eine neue endoskopische Therapiemodalität stellt die endoskopische Vakuumschwammtherapie (EVAC) dar. Zunächst wurde diese Therapiemodalität für rektale Anastomoseninsuffizienzen verwendet. Mittlerweile wird die endoskopische Vakuumschwammtherapie auch am oberen Gastrointestinaltrakt erfolgreich eingesetzt, wenngleich sich die Schwammapplikation technisch anspruchsvoller gestaltet. Weitere Anwendungsbereiche wie z. B. bei nekrotisierender Pankreatitis sind denkbar.
Abstract
Anastomotic leakage in the upper and lower intestinal tract is associated with high morbidity and mortality. Endoscopic vacuum-assisted closure (EVAC) is a new innovative endoscopic therapy option. Initially this treatment modality was applied in rectal insufficiencies but EVAC has also been successfully applied for the treatment of intrathoracic anastomotic leakage. Additional indications for the application of EVAC, such as necrotizing pancreatitis are expected to be developed in the near future.
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Wedemeyer, J., Schneider, A., Winkler, M. et al. Endoskopische Vakuumtherapie bei Perforationen und Anastomoseninsuffizienzen. Gastroenterologe 6, 120–123 (2011). https://doi.org/10.1007/s11377-011-0535-z
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DOI: https://doi.org/10.1007/s11377-011-0535-z