An overview of recent advancements reveals that endoscopic management of anastomotic leakage (AL) in the upper gastrointestinal tract has improved significantly. Endoscopic vacuum therapy (EVT) is now considered superior to traditional methods like sutures and stents, offering a lower complication rate and higher healing success. Smaller defects can still be treated effectively with endoscopic sutures and clips, while innovative techniques, such as vacuum stents and filmed drainage, provide promising options for larger leaks.
Review by Richter F and Ellrichmann M in Visc Med
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