Société Royale Belge de Gastro-Entérologie

European Society of Gastrointestinal Endoscopy (ESGE)

How do you perform endoscopic vacuum therapy for colorectal anastomotic leakage?

Colorectal anastomotic leakage complicates from 3 to 19 % of colorectal surgery and its management may be challenging! 👉 Endoscopic Vacuum Therapy (EVT) has emerged as a promising treatment modality although results are inconsistent when comparing to a standard management (antibiotics +drainage + eventual diverting stoma).

📊 Lou and Colleagues tried to clarify these outcomes by doing a systematic review and meta-analysis comparing EVT and the traditional approaches.

And this is what comes out:
- Better rate of resolution of anastomotic leakage (RR 1.18 95%CI 1.03 to 1.35; P =0.02)
- Shorter treatment duration (mean difference −30.6 days, 95%CI −43.5 to−17.7;P<0.001)
- Comparable rate of bowel continuity restoration (RR 1.22, 95%CI 0.80 to 1.86; P = 0.34)
- Comparable hospital stay (mean difference −1.7 days, 95%CI −4.2 to 7.7; P = 0.57)
- Comparable complications (RR 1.17, 95%CI 0.52 to 2.80; I2 = 13%; P = 0.71)

💡 Although these finding are promising, the heterogeneity is high among studies and prospective studies are still lacking!

www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2627-3149
#Gastroenterology #ColorectalLeakage #VacuumTherapy #ColorectalSurgery #Endoscopy ... Voir plusVoir moins

European Society of Gastrointestinal Endoscopy (ESGE)

EUS is no longer just about the pancreas or GI wall. At ESGE Days 2026, join a focused Postgraduate Course on EUS-Guided Endo-Hepatology exploring how EUS is reshaping liver diagnostics and portal hypertension assessment.
esge2026.process.y-congress.com/ScientificProcess/schedule/?sessionGuid=712e58e9-da5f-4afc-97fe-a...

This session will cover:
• When and why to perform EUS-guided liver biopsy
• How to do it: technical tips and tricks from experts
• EUS-guided HVPG measurement: bringing hemodynamic assessment into the endoscopy suite.

Chaired by Pierre Deprez and moderated by Ian Gralnek, with leading faculty from across Europe (Henriette Heinrich, Andrada Seicean and Michael Praktiknjo), this course offers practical, state-of-the-art insights for Endosonographers interested in expanding the clinical impact of EUS. ... Voir plusVoir moins