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Tools and techniques
Open Access
Cost-effective modified endoscopic vacuum therapy for the treatment of gastrointestinal transmural defects: step-by-step process of manufacturing and its advantages
VideoGIE
Vol. 6Issue 12p523–528Published online: September 4, 2021
- Diogo Turiani Hourneaux de Moura
- Bruno Salomão Hirsch
- Epifânio Silvino Do Monte Junior
- Thomas R. McCarty
- Flaubert Sena de Medeiros
- Christopher C. Thompson
- and others
Cited in Scopus: 12
- Video
GI transmural defects may be classified into 3 distinct categories: perforations, leaks, and fistulas. Each represents a therapeutic challenge directly affecting morbidity, mortality, and quality of life and is associated with significant healthcare costs.¹^,² Endoscopic therapy has become the first-line therapy in most cases,³^,⁴ with available treatment modalities that include closure techniques such as glues/tissue sealants, cap-mounted clips, and endoscopic suturing; cover techniques such as self-expandable metal stents (SEMSs) and cardiac septal defect occluder devices; and endoscopic draining approaches such as septotomy, endoscopic internal drainage with double-pigtail stents, and endoscopic vacuum therapy (EVT).