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PERSPECTIVE article

Front. Gastroenterol.
Sec. Endoscopy
Volume 3 - 2024 | doi: 10.3389/fgstr.2024.1502682
This article is part of the Research Topic Interventional and Therapeutic Upper Gastrointestinal Endoscopy View all articles

Endoscopic Vacuum Therapy in the Upper Gastrointestinal Tract

Provisionally accepted
Kirsten Boonstra Kirsten Boonstra 1*Lisanne MD Pattynama Lisanne MD Pattynama 2,3,4,5Yasmijn J van Herwaarden Yasmijn J van Herwaarden 1Wietse J Eshuis Wietse J Eshuis 3,5Roos E Pouw Roos E Pouw 2,4,5
  • 1 Radboud university medical center, Nijmegen, Netherlands
  • 2 Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Gastroenterology and Hepatology, Amsterdam, Netherlands
  • 3 Amsterdam UMC location University of Amsterdam, Department of Surgery, Amsterdam, Netherlands
  • 4 Amsterdam Gastroenterology Endocrinology and Metabolism, Amsterdam University Medical Center, Amsterdam, North Holland, Netherlands
  • 5 Cancer Treatment and Quality of Life, Cancer Center Amsterdam, Amsterdam, Netherlands

The final, formatted version of the article will be published soon.

    Endoscopic vacuum therapy (EVT) is a promising and versatile intervention for managing transmural defects in the upper gastrointestinal tract. Despite challenges, EVT exhibits great efficacy and safety, emphasizing the need for standardized protocols and evidence-based practices. We provide an overview, including mechanism, indications, types of EVT devices and complications, guiding clinicians in decision-making. Common challenges in EVT are highlighted, facilitating adequate implementation of EVT and helping to avoid common mistakes in daily practice.

    Keywords: Endoscopic vacuum therapy, Upper GI endoscopy, Upper GI surgery, Gastrointestinal perforation, Boerhaave syndrome

    Received: 27 Sep 2024; Accepted: 30 Dec 2024.

    Copyright: © 2024 Boonstra, Pattynama, van Herwaarden, Eshuis and Pouw. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Kirsten Boonstra, Radboud university medical center, Nijmegen, Netherlands

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.