Central Interdisciplinary Endoscopy, Department of Hepatology and Gastroenterology, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany.
Best Pract Res Clin Gastroenterol. 2024 Jun;70:101927. doi: 10.1016/j.bpg.2024.101927. Epub 2024 Jun 10.
Endoscopic vacuum therapy (EVT) is an established technique for the treatment of rectal wall defects and especially anastomotic leaks. A wide range of EVT devices, both handmade and commercially available, allow for their successful placement even in small defects and difficult localizations. Reported success rates range between 85 and 97 %, while periintervenional morbidity is low and major adverse events are very rare. EVT has proven its effectiveness in the lower gastrointestinal tract and is now considered first line treatment for pelvic anastomotic leaks. This narrative review summarizes the current literature on EVT in the lower gastrointestinal tract, focusing on its indications, technical aspects and results, and offers tips and tricks for its clinical applications.
内镜下真空治疗（EVT）是一种成熟的技术，可用于治疗直肠壁缺损，特别是吻合口漏。范围广泛的 EVT 设备，包括手工制作和市售的设备，即使在小缺陷和难以定位的情况下也能成功放置。报道的成功率在 85%至 97%之间，而介入期间的发病率较低，主要不良事件非常罕见。EVT 已在下消化道证明其有效性，并且现在被认为是骨盆吻合口漏的一线治疗方法。本综述总结了下消化道 EVT 的当前文献，重点介绍了其适应证、技术方面和结果，并提供了其临床应用的技巧和窍门。
