Endoscopic Vacuum Therapy (EVT) for the Treatment of Post-Bariatric Surgery Leaks and Fistulas: a Systematic Review and Meta-analysis
Bariatric surgery remains the most effective treatment for morbid obesity and its comorbidities. However, post-surgical leaks and fistulas can occur in about 1–5% of patients, with challenging treatment approaches. Endoscopic vacuum therapy (EVT) has emerged as a promising tool due to its satisfacto...
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| Veröffentlicht in: | Obesity surgery 2022-10, Vol.32 (10), p.3435-3451 |
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| creator | Intriago, Josselyn Mariana Vera de Moura, Diogo Turiani Hourneaux do Monte Junior, Epifanio Silvino Proença, Igor Mendonça Ribeiro, Igor Braga Sánchez-Luna, Sergio A. Bernardo, Wanderley Marques de Moura, Eduardo Guimarães Hourneaux |
| description | Bariatric surgery remains the most effective treatment for morbid obesity and its comorbidities. However, post-surgical leaks and fistulas can occur in about 1–5% of patients, with challenging treatment approaches. Endoscopic vacuum therapy (EVT) has emerged as a promising tool due to its satisfactory results and accessibility. In this first systematic review and meta-analysis on the subject, EVT revealed rates of 87.2% clinical success, 6% moderate adverse events, and 12.5% system dislodgements, requiring 6.47 EVT system exchanges every 4.39 days, with a dwell time of 25.67 days and a total length of hospitalization of 44.43 days. Although our results show that EVT is a safe and effective therapy for post-surgical leaks and fistulas, they should be interpreted with caution due to the paucity of available data.
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| doi_str_mv | 10.1007/s11695-022-06228-0 |
| format | Article |
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| subjects | Endoscopy Fistula Gastrointestinal surgery Medical treatment Medicine Medicine & Public Health Meta-analysis Obesity Postoperative period Review Surgery Surgical outcomes Systematic review |
| title | Endoscopic Vacuum Therapy (EVT) for the Treatment of Post-Bariatric Surgery Leaks and Fistulas: a Systematic Review and Meta-analysis |
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