ASGE DDW Videos from Around the World | 2025-WHY CAN'T WE GO THROUGH THE WINDOW TRANS-OSTOMY ENDOSCOPIC VACUUM THERAPY (TOE-VAC) OF ANASTOMOSTIC DEHISCENCE FOLLOWING A LOW ANTERIOR RESECTION

WHY CAN'T WE GO THROUGH THE WINDOW TRANS-OSTOMY ENDOSCOPIC VACUUM THERAPY (TOE-VAC) OF ANASTOMOSTIC DEHISCENCE FOLLOWING A LOW ANTERIOR RESECTION

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Video Transcription

Video Summary

A 73-year-old female with stage 3b rectal adenocarcinoma underwent surgery, developing a colorectal anastomotic deficiency. Instead of high-risk surgery or uncomfortable IR guided therapy, the medical team used endoscopic vacuum therapy (EVT) through her ostomy. This non-invasive approach managed her sepsis, healed dehiscence, and minimized hospitalization. Using a portable wound vacuum, they performed outpatient sponge exchanges, observing significant healing over time. In 90 days, her pain dissipated, mucosal integrity improved, and fistula drainage stopped. EVT effectively provided a minimally invasive solution, showcasing its potential for colorectal dehiscence beyond the upper GI tract.

Asset Subtitle

Video Plenary Session II
Neil Marya

Keywords

endoscopic vacuum therapy

colorectal anastomotic deficiency

minimally invasive

rectal adenocarcinoma

fistula drainage