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Pilot study demonstrates safety and effectiveness of a new device for gastrointestinal anastomotic leaks, indicating potential for broader use.
Endoscopic vacuum-assisted therapy (EVT) is an emerging technology using wound vacuum-assisted closure systems for gastrointestinal leaks. We present the case of 65-year-old man with esophageal adenocarcinoma who underwent laparoscopic transhiatal esophagogastrostomy, complicated by an anastomotic leak. This is the first case of a novel one-piece EVT device to evaluate the safety and efficacy in treatment of gastrointestinal leaks. Our case demonstrates that this novel EVT device is both safe and effective, with the added benefit of a pre-assembled design that reduces procedural complexity and may facilitate wider adoption of EVT for gastrointestinal leaks.
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Cassera et al. (2026) studied this question.
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