Endoscopic vacuum therapy (EVT) is a rapidly evolving novel technology increasingly used in the GI tract for management of endoscopic and surgical adverse events such as perforations, leaks, and fistulae. Initially recognized by plastic surgeons as a management option for chronically infected and ischemic wounds, vacuum therapy has experienced rapid adoption into other specialties, including gastroenterology.1 In this American Society for Gastrointestinal Endoscopy technology document, we discuss the indications, technical aspects, and outcomes of EVT for the management of various GI conditions.
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