Homemade endoscopic vacuum therapy device for the management of transmural gastrointestinal defects.

Objectives: Endoscopic vacuum therapy (EVT) possesses a unique mechanism of action providing a less invasive alternative for the management of transmural gastrointestinal defects (TGID). This study evaluates the efficacy and safety of a novel homemade EVT (H-EVT) for the treatment of TGID.

Methods: Retrospective multicenter study including patients who underwent H-EVT for TGID between January 2019 and January 2022.

Cost-effective modified endoscopic vacuum therapy for the treatment of gastrointestinal transmural defects: step-by-step process of manufacturing and its advantages.

Video 1Cost-effective modified endoscopic vacuum therapy for GI transmural defects. Step-by-step process of manufacturing and potential advantages.1.

Does it matter which plastic stents we use for the treatment of post-surgical leaks? Or does one-size-fit-all?

We congratulate Fuentes-Valenzuela et al. on their study entitled "Endoscopic internal drainage using transmural double-pigtail stents in leaks following upper gastrointestinal tract surgery." The authors report a technical and clinical success of 100 % and 77.

Preemptive endoluminal vacuum therapy after pancreaticoduodenectomy: A case report.

Background: Pancreaticoduodenectomy is a technically demanding operation, with reported morbidity rates of approximately 40%-50%. A novel idea is to use endoscopic vacuum therapy (EVT) in a preemptive setting to prevent anastomotic leakage and pancreatic fistulas. In a recent case series, EVT was proven to be effective in preventing leaks in patients with anastomotic ischemia.