Name: Vacuum terapia endoscopica per il trattamento della perdita anastomotica dopo gastrectomia totale con esofagodigiunostomia (Video) | JoVE Journal
Uploaded: 2025-08-22T13:55:00.000+00:00
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Description: Scopri la terapia endoscopica a vuoto per il trattamento delle perdite anastomotiche dopo gastrectomia totale con esofagodigiunostomia. Questo metodo minimamente invasivo offre efficacia e sicurezza.

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<ol><li>Oh, S. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Yonsei+gastric+cancer+clinic.+Complications+requiring+reoperation+after+gastrectomy+for+gastric+cancer%3A+17+years+experience+in+a+single+institute%5BTitle%5D)+AND+%22J+Gastrointest+Surg%22%5BJournal%5D)">Yonsei gastric cancer clinic. Complications requiring reoperation after gastrectomy for gastric cancer: 17 years experience in a single institute.</a> J Gastrointest Surg. 13 (2), 239-245 (2009).</li>
<li>Li, Q. G., Li, P., Tang, D., Chen, J., Wang, D. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Impact+of+postoperative+complications+on+long-term+survival+after+radical+resection+for+gastric+cancer%5BTitle%5D)+AND+%22World+J+Gastroenterol%22%5BJournal%5D)">Impact of postoperative complications on long-term survival after radical resection for gastric cancer.</a> World J Gastroenterol. 19 (25), 4060-4065 (2013).</li>
<li>Sierzega, M., Kolodziejczyk, P., Kulig, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Polish+Gastric+Cancer+Study+Group.+Impact+of+anastomotic+leakage+on+long-term+survival+after+total+gastrectomy+for+carcinoma+of+the+stomach%5BTitle%5D)+AND+%22Br+J+Surg%22%5BJournal%5D)">Polish Gastric Cancer Study Group. Impact of anastomotic leakage on long-term survival after total gastrectomy for carcinoma of the stomach.</a> Br J Surg. 97 (7), 1035-1042 (2010).</li>
<li>Migita, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Risk+factors+for+esophagojejunal+anastomotic+leakage+after+elective+gastrectomy+for+gastric+cancer%5BTitle%5D)+AND+%22J+Gastrointest+Surg%22%5BJournal%5D)">Risk factors for esophagojejunal anastomotic leakage after elective gastrectomy for gastric cancer.</a> J Gastrointest Surg. 16 (9), 1659-1665 (2012).</li>
<li>Kanaji, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Can+the+intraoperative+leak+test+prevent+postoperative+leakage+of+esophagojejunal+anastomosis+after+total+gastrectomy%5BTitle%5D)+AND+%22Surg+Today%22%5BJournal%5D)">Can the intraoperative leak test prevent postoperative leakage of esophagojejunal anastomosis after total gastrectomy.</a> Surg Today. 46 (7), 815-820 (2016).</li>
<li>Yoo, H. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Negative+impact+of+leakage+on+survival+of+patients+undergoing+curative+resection+for+advanced+gastric+cancer%5BTitle%5D)+AND+%22J+Surg+Oncol%22%5BJournal%5D)">Negative impact of leakage on survival of patients undergoing curative resection for advanced gastric cancer.</a> J Surg Oncol. 104 (7), 734-740 (2011).</li>
<li>Makuuchi, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Esophagojejunal+anastomotic+leakage+following+gastrectomy+for+gastric+cancer%5BTitle%5D)+AND+%22Surg+Today%22%5BJournal%5D)">Esophagojejunal anastomotic leakage following gastrectomy for gastric cancer.</a> Surg Today. 49 (3), 187-196 (2019).</li>
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<li>Mandarino, F. V., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+%28EVT%29+versus+selfexpandable+metal+stent+%28SEMS%29+for+anastomotic+leaks+after+upper+gastrointestinal+surgery%3A+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Life+%28Basel%29%22%5BJournal%5D)">Endoscopic vacuum therapy (EVT) versus selfexpandable metal stent (SEMS) for anastomotic leaks after upper gastrointestinal surgery: systematic review and metaanalysis.</a> Life (Basel). 13 (2), 287(2023).</li>
<li>Azevedo, I., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Anastomotic+leakages+after+surgery+for+gastroesophageal+cancer%3A+a+systematic+review+and+metaanalysis+on+endoscopic+versus+surgical+management%5BTitle%5D)+AND+%22GE+Port+J+Gastroenterol%22%5BJournal%5D)">Anastomotic leakages after surgery for gastroesophageal cancer: a systematic review and metaanalysis on endoscopic versus surgical management.</a> GE Port J Gastroenterol. 30 (3), 192-203 (2023).</li>
<li>Weidenhagen, R., Gruetzner, K. U., Wiecken, T., Spelsberg, F., Jauch, K. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuumassisted+closure+of+anastomotic+leakage+following+anterior+resection+of+the+rectum%3A+a+new+method%5BTitle%5D)+AND+%22Surg+Endosc%22%5BJournal%5D)">Endoscopic vacuumassisted closure of anastomotic leakage following anterior resection of the rectum: a new method.</a> Surg Endosc. 22 (8), 1818-1825 (2008).</li>
<li>Saxena, V., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Vacuumassisted+closure%3A+microdeformations+of+wounds+and+cell+proliferation%5BTitle%5D)+AND+%22Plast+Reconstr+Surg%22%5BJournal%5D)">Vacuumassisted closure: microdeformations of wounds and cell proliferation.</a> Plast Reconstr Surg. 114 (5), 1086-1096 (2004).</li>
<li>Argenta, L. C., Morykwas, M. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Vacuumassisted+closure%3A+a+new+method+for+wound+control+and+treatment%3A+clinical+experience%5BTitle%5D)+AND+%22Ann+Plast+Surg%22%5BJournal%5D)">Vacuumassisted closure: a new method for wound control and treatment: clinical experience.</a> Ann Plast Surg. 38 (6), 563-576 (1997).</li>
<li>Pines, G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Modified+endoscopic+vacuum+therapy+for+nonhealing+esophageal+anastomotic+leak%3A+technique+description+and+review+of+literature%5BTitle%5D)+AND+%22J+Laparoendosc+Adv+Surg+Tech+A%22%5BJournal%5D)">Modified endoscopic vacuum therapy for nonhealing esophageal anastomotic leak: technique description and review of literature.</a> J Laparoendosc Adv Surg Tech A. 28 (1), 33-40 (2018).</li>
<li>Pattynama, L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+for+anastomotic+leakage+after+upper+gastrointestinal+surgery%5BTitle%5D)+AND+%22Endoscopy%22%5BJournal%5D)">Endoscopic vacuum therapy for anastomotic leakage after upper gastrointestinal surgery.</a> Endoscopy. 55 (11), 1019-1025 (2023).</li>
<li>Luttikhold, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+for+esophageal+perforation%3A+a+multicenter+retrospective+cohort+study%5BTitle%5D)+AND+%22Endoscopy%22%5BJournal%5D)">Endoscopic vacuum therapy for esophageal perforation: a multicenter retrospective cohort study.</a> Endoscopy. 55 (9), 859-864 (2023).</li>
<li>do Monte Junior, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+versus+endoscopic+stenting+for+upper+gastrointestinal+transmural+defects%3A+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Dig+Endosc%22%5BJournal%5D)">Endoscopic vacuum therapy versus endoscopic stenting for upper gastrointestinal transmural defects: systematic review and metaanalysis.</a> Dig Endosc. 33 (6), 892-902 (2021).</li>
<li>Gutschow, C. A., Schlag, C., Vetter, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+in+the+upper+gastrointestinal+tract%3A+when+and+how+to+use+it%5BTitle%5D)+AND+%22Langenbecks+Arch+Surg%22%5BJournal%5D)">Endoscopic vacuum therapy in the upper gastrointestinal tract: when and how to use it.</a> Langenbecks Arch Surg. 407 (3), 957-964 (2022).</li>
<li>Pattynama, L. M. D., Eshuis, W. J., Seewald, S., Pouw, R. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Multimodality+management+of+defects+in+the+gastrointestinal+tract%3A+where+the+endoscope+meets+the+scalpel%3A+endoscopic+vacuum+therapy+in+the+upper+gastrointestinal+tract%5BTitle%5D)+AND+%22Best+Pract+Res+Clin+Gastroenterol%22%5BJournal%5D)">Multimodality management of defects in the gastrointestinal tract: where the endoscope meets the scalpel: endoscopic vacuum therapy in the upper gastrointestinal tract.</a> Best Pract Res Clin Gastroenterol. 70, 101901(2024).</li>
<li>Zhang, C. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Feasibility%2C+effectiveness%2C+and+safety+of+endoscopic+vacuum+therapy+for+intrathoracic+anastomotic+leakage+following+transthoracic+esophageal+resection%5BTitle%5D)+AND+%22BMC+Gastroenterol%22%5BJournal%5D)">Feasibility, effectiveness, and safety of endoscopic vacuum therapy for intrathoracic anastomotic leakage following transthoracic esophageal resection.</a> BMC Gastroenterol. 21 (1), 72(2021).</li>
<li>Wedemeyer, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Management+of+major+postsurgical+gastroesophageal+intrathoracic+leaks+with+an+endoscopic+vacuumassisted+closure+system%5BTitle%5D)+AND+%22Gastrointest+Endosc%22%5BJournal%5D)">Management of major postsurgical gastroesophageal intrathoracic leaks with an endoscopic vacuumassisted closure system.</a> Gastrointest Endosc. 71 (2), 382-386 (2010).</li>
<li>Ruggiero, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Postoperative+peritonitis+due+to+anastomotic+dehiscence+after+colonic+resection%3A+multicentric+experience%2C+retrospective+analysis+of+risk+factors+and+review+of+the+literature%5BTitle%5D)+AND+%22Ann+Ital+Chir%22%5BJournal%5D)">Postoperative peritonitis due to anastomotic dehiscence after colonic resection: multicentric experience, retrospective analysis of risk factors and review of the literature.</a> Ann Ital Chir. 82 (5), 369-375 (2011).</li>
<li>Scognamiglio, P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+versus+stenting+for+postoperative+esophagoenteric+anastomotic+leakage%3A+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Endoscopy%22%5BJournal%5D)">Endoscopic vacuum therapy versus stenting for postoperative esophagoenteric anastomotic leakage: systematic review and metaanalysis.</a> Endoscopy. 52 (8), 632-642 (2020).</li>
<li>Guo, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Choice+of+therapeutic+strategies+in+intrathoracic+anastomotic+leak+following+esophagectomy%5BTitle%5D)+AND+%22World+J+Surg+Oncol%22%5BJournal%5D)">Choice of therapeutic strategies in intrathoracic anastomotic leak following esophagectomy.</a> World J Surg Oncol. 12, 402(2014).</li>
<li>Leeds, S. G., Burdick, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Management+of+gastric+leaks+after+sleeve+gastrectomy+with+endoluminal+vacuum+%28EVac%29+therapy%5BTitle%5D)+AND+%22Surg+Obes+Relat+Dis%22%5BJournal%5D)">Management of gastric leaks after sleeve gastrectomy with endoluminal vacuum (EVac) therapy.</a> Surg Obes Relat Dis. 12 (7), 1278-1285 (2016).</li>
<li>Tavares, G., Tustumi, F., Tristão, L. S., Bernardo, W. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+for+anastomotic+leak+in+esophagectomy+and+total+gastrectomy%3A+a+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Dis+Esophagus%22%5BJournal%5D)">Endoscopic vacuum therapy for anastomotic leak in esophagectomy and total gastrectomy: a systematic review and metaanalysis.</a> Dis Esophagus. 34 (5), doaa132(2021).</li>
<li>Smallwood, N. R., Fleshman, J. W., Leeds, S. G., Burdick, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+use+of+endoluminal+vacuum+%28EVac%29+therapy+in+the+management+of+upper+gastrointestinal+leaks+and+perforations%5BTitle%5D)+AND+%22Surg+Endosc%22%5BJournal%5D)">The use of endoluminal vacuum (EVac) therapy in the management of upper gastrointestinal leaks and perforations.</a> Surg Endosc. 30 (6), 2473-2480 (2016).</li>
<li>Laukoetter, M. G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Successful+closure+of+defects+in+the+upper+gastrointestinal+tract+by+endoscopic+vacuum+therapy+%28EVT%29%3A+a+prospective+cohort+study%5BTitle%5D)+AND+%22Surg+Endosc%22%5BJournal%5D)">Successful closure of defects in the upper gastrointestinal tract by endoscopic vacuum therapy (EVT): a prospective cohort study.</a> Surg Endosc. 31 (6), 2687-2696 (2017).</li>
<li>Aziz, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Safety+and+effectiveness+of+endoluminal+vacuumassisted+closure+for+esophageal+defects%3A+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Endosc+Int+Open%22%5BJournal%5D)">Safety and effectiveness of endoluminal vacuumassisted closure for esophageal defects: systematic review and metaanalysis.</a> Endosc Int Open. 9 (9), E1371-E1380 (2021).</li>
<li>Pardo, E., Camus, M., Verdonk, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Anesthesia+for+digestive+tract+endoscopy%5BTitle%5D)+AND+%22Curr+Opin+Anaesthesiol%22%5BJournal%5D)">Anesthesia for digestive tract endoscopy.</a> Curr Opin Anaesthesiol. 35 (4), 528-535 (2022).</li>
<li>Grund, K. E., Schweizer, U., Zipfel, A., DuckworthMothes, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Learning+of+flexible+endoscopy%2C+particularly+endoscopic+vacuum+therapy+%28EVT%29%5BTitle%5D)+AND+%22Chirurg%22%5BJournal%5D)">Learning of flexible endoscopy, particularly endoscopic vacuum therapy (EVT).</a> Chirurg. 93 (1), 56-63 (2022).</li>
<li>RodriguesPinto, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((International+multicenter+expert+survey+on+endoscopic+treatment+of+upper+gastrointestinal+anastomotic+leaks%5BTitle%5D)+AND+%22Endosc+Int+Open%22%5BJournal%5D)">International multicenter expert survey on endoscopic treatment of upper gastrointestinal anastomotic leaks.</a> Endosc Int Open. 7 (12), E1671-E1682 (2019).</li>
<li>Chon, S. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((VACStent%3A+a+new+option+for+endoscopic+vacuum+therapy+in+patients+with+esophageal+anastomotic+leaks+after+upper+gastrointestinal+surgery%5BTitle%5D)+AND+%22Endoscopy%22%5BJournal%5D)">VACStent: a new option for endoscopic vacuum therapy in patients with esophageal anastomotic leaks after upper gastrointestinal surgery.</a> Endoscopy. 52 (5), E166-E167 (2020).</li>
<li>Lange, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+VACStent+trial%3A+combined+treatment+of+esophageal+leaks+by+covered+stent+and+endoscopic+vacuum+therapy%5BTitle%5D)+AND+%22Surg+Endosc%22%5BJournal%5D)">The VACStent trial: combined treatment of esophageal leaks by covered stent and endoscopic vacuum therapy.</a> Surg Endosc. 37 (5), 3657-3668 (2023).</li>
<li>Chon, S. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+new+hybrid+stent+using+endoscopic+vacuum+therapy+in+treating+esophageal+leaks%3A+a+prospective+singlecenter+experience+of+its+safety+and+feasibility+with+midterm+followup%5BTitle%5D)+AND+%22Dis+Esophagus%22%5BJournal%5D)">A new hybrid stent using endoscopic vacuum therapy in treating esophageal leaks: a prospective singlecenter experience of its safety and feasibility with midterm followup.</a> Dis Esophagus. 35 (4), doab067(2022).</li>
</ol>

<table><tbody><tr><td>Tubo di collegamento di aspirazione esterno monouso</td><td>Hennè Tuoren Best Medical Equipment Co., Ltd.</td><td>Tipo II-2.0</td><td></td></tr><tr><td>Dispositivo di drenaggio monouso a pressione negativa</td><td>Hennè Tuoren Best Medical Equipment Co., Ltd.</td><td>Tipo II-1&ndash; 2000 ml</td><td></td></tr><tr><td>Tubo di drenaggio</td><td>Yangzhou Huawei Medical Equipment Co., Ltd.</td><td>6,0 millimetri (Fr18)</td><td></td></tr><tr><td>Endoscopio</td><td>Olimpo</td><td>GIF-H170</td><td></td></tr><tr><td>Pinze endoscopiche</td><td>Changzhou JIUHONG Medical Instruments Co., Ltd.</td><td>JHY-FB-23-160-O-O</td><td></td></tr><tr><td>Tubo di alimentazione Nasojejunal</td><td>Fresenius kabi AG</td><td>CH/FR 15.100 CM</td><td></td></tr><tr><td>Spugna poliuretanica a celle aperte</td><td>Guangdong Meiji Biotechnology Co., Ltd.</td><td>MJ-03B4</td><td></td></tr><tr><td>Sutura in polipropilene non assorbibile</td><td>ETHICON</td><td>8522H</td><td></td></tr></tbody></table>

vacuum terapia endoscopica per il trattamento della perdita anastomotica dopo gastrectomia totale con esofagodigiunostomia

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

In questo caso rappresentativo, il paziente è stato sottoposto a sostituzione EVTDD tre volte. Il tempo medio della procedura per il posizionamento dell'EVTDD è stato di 37 minuti e la degenza ospedaliera totale presso la struttura è stata di 21 giorni. Non sono state osservate complicanze durante o dopo le procedure EVT.
Durante la prima procedura EVT, l'endoscopia ha rivelato una perdita di 1 cm × 1,5 cm all'anastomosi esofagodigiuno, circondata da un rivestimento purulento giallo-bianco, co...

Vacuum terapia endoscopica per il trattamento della perdita anastomotica dopo gastrectomia totale con esofagodigiunostomia

Endoscopic vacuum therapy (EVT) offers an effective alternative for the treatment of anastomotic leakage. Current treatment options for leakage include ...

endoscopic-vacuum-therapy-for-treatment-anastomotic-leakage-after

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Scopri la terapia endoscopica a vuoto per il trattamento delle perdite anastomotiche dopo gastrectomia totale con esofagodigiunostomia. Questo metodo minimamente invasivo offre efficacia e sicurezza.

Vacuum terapia endoscopica per il trattamento della perdita anastomotica dopo gastrectomia totale con esofagodigiunostomia

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