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Create a Free AccountProcedures - Bariatrics
Cost-effective modified endoscopic vacuum therapy for the treatment of gastrointestinal transmural defects: step-by-step process of manufacturing and its advantages
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).Endoscopic vacuum therapy for a large esophageal perforation after bariatric stent placement
Postoperative leaks pose a significant risk to patients undergoing sleeve gastrectomy (SG).1 Currently, self-expandable metal stent (SEMS) placement is the mainstay of the treatment of early bariatric leaks.2 The stent works by covering the orifice of the fistula and also shaping the stomach and promoting a distal dilation, treating downstream obstruction.3,4 The overall success rate of stent use was 72.8%, with a migration rate of 28.2%.2 Recently, a newer stent, the megastent, has also emerged as an interesting option because its long and large shape adequately fits the tortuous anatomy of the SG, demonstrating superior results in comparison with esophageal stents in the management of sleeve leaks; however, serious adverse events may arise.
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