Endoscopic Vacuum Assisted Closure for Intestinal Leakages

Anastomotic leakage in the upper and lower intestinal tract is associated with high morbidity and mortality. Endoscopic vacuum assisted closure (E-V.A.C.) is a new innovative endoscopic therapeutic option. E-V.A.C. transfers the positive effects of vacuum assisted closure (V.A.C.) on infected cutaneous Wounds to infected cavities that can only be reached endoscopically. For the treatment of rectal insufficiency, a commercially available vacuum system (Endosponge (R)) is available. In the upper gastrointestinal tract the method has been applied successfully for the treatment of intrathoracic anastomotic leakages. E-V.A.C. might be an important alternative to stent placement in intrathoracic anastomotic leakage. Additional indications for the application of E-V.A.C. are expected to be developed within the near future.