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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 14, 2022; 28(14): 1394-1404
Published online Apr 14, 2022. doi: 10.3748/wjg.v28.i14.1394
Published online Apr 14, 2022. doi: 10.3748/wjg.v28.i14.1394
Endoluminal vacuum-assisted therapy to treat rectal anastomotic leakage: A critical analysis
Andrea Vignali, Paola De Nardi, Department of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milano 20132, Italy
Andrea Vignali, Department of Surgery, Vita-Salute University, Milano 20132, Italy
Author contributions: Vignali A conceived the idea for the manuscript; Vignali A and De Nardi P reviewed the literature and drafted the manuscript.
Conflict-of-interest statement: The authors declare no conflict of interests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Paola De Nardi, FASCRS, MD, Staff Physician, Surgeon, Department of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, via Olgettina 60, Milano 20132, Italy. denardi.paola@hsr.it
Received: May 10, 2021
Peer-review started: May 10, 2021
First decision: June 23, 2021
Revised: July 7, 2021
Accepted: March 4, 2022
Article in press: March 4, 2022
Published online: April 14, 2022
Processing time: 331 Days and 3.5 Hours
Peer-review started: May 10, 2021
First decision: June 23, 2021
Revised: July 7, 2021
Accepted: March 4, 2022
Article in press: March 4, 2022
Published online: April 14, 2022
Processing time: 331 Days and 3.5 Hours
Core Tip
Core Tip: Endoluminal vacuum therapy for the treatment of rectal anastomotic leakage, in clinically stable patients, has been reported to be promising, in term of high rate of anastomotic salvage and length of hospital stay. Nevertheless, inclusion criteria, definition of success and complications, are heterogeneous. Moreover, long-term anorectal function is poorly reported. This opinion review aims at clarify, through a critical analysis, all the raised points to stimulate the surgical community to a more standardized approach and algorithm of treatment, and to further study the long-term consequences of this technique.