Endoscopic negative pressure therapy of the upper gastrointestinal tract. German version

Endoscopic negative pressure therapy (ENPT) has been adapted for upper gastrointestinal tract applications. More than 400 patients have already been treated with ENPT due to transmural defects in the upper gastrointestinal tract, with a success rate of 87%. The greatest experience exists for the tre...

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Bibliographic Details
Published in:Chirurg 2018-12, Vol.89 (12), p.952-959
Main Author: Loske, G
Format: Article
Language:ger
Subjects:
Anastomotic Leak - therapy
Endoscopy
Humans
Negative-Pressure Wound Therapy
Upper Gastrointestinal Tract
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Summary:Endoscopic negative pressure therapy (ENPT) has been adapted for upper gastrointestinal tract applications. More than 400 patients have already been treated with ENPT due to transmural defects in the upper gastrointestinal tract, with a success rate of 87%. The greatest experience exists for the treatment of anastomotic leakages and perforations of the esophagus. The ENPT is also used in the duodenum, pancreas and for complications after bariatric surgery. There are new indications that go beyond treatment in complication management. Innovative drainage types and endoscopic techniques have been developed that broaden the spectrum of applications. The aim of this article is to give an overview of the current status of ENPT in the upper gastrointestinal tract.
ISSN:1433-0385
DOI:10.1007/s00104-018-0728-9