Favorable outcome of a gastrocutaneous fistula managed with EndoVAC therapy post-bariatric surgery: a case report
Year: 2025
Type: article
Study design: Case Report
Abstract: This case report details the successful management of a gastrocutaneous fistula following bariatric surgery using endoluminal vacuum-assisted closure therapy (EVT/EVAC). Recognized increasingly in recent literature as an effective minimally invasive approach, EVT promotes fistula closure through continuous negative pressure applied via endoscopically placed sponges, facilitating wound drainage, tissue granulation, and defect healing. The patient's favorable outcome underscores EVT's potential as a safe alternative to surgical repair, especially in complex or refractory cases. A review of current evidence highlights high success rates and safety profiles for EVT in managing postbariatric leaks and fistulas, emphasizing its growing role in endoscopic therapeutic strategies.
Source: Journal of Surgical Case Reports
DOI: 10.1093/jscr/rjaf839
Authors: Martin Islas Torres, Jose Orozco Álvarez Malo, José Maria Zepeda Torres, Luis Osvaldo Suárez Carreón, Francisco Javier Plascencia Posada, Rodrigo Prieto Aldape, José Víctor Pérez Navarro, José Abraham Flores Cardoza, Rodrigo Hernández Ramírez, Andrea Michelle Salas Carlock
Institution: Mexican Social Security Institute
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,000
OpenAlex ID: W4415507582