%0 Journal Article
%T Endoscopic vacuum therapy for the management of esophageal perforations: a narrative review
%A El Khoury, Mandy
%A El Dada, Anthony
%A Nehme, Fredy
%J Annals of Laparoscopic and Endoscopic Surgery
%D 2026
%B 2026
%9 
%! Endoscopic vacuum therapy for the management of esophageal perforations: a narrative review
%K 
%X Esophageal perforations were traditionally managed surgically, while an endoscopic approach with stent placement has been the mainstay of treatment over the past years. Both approaches have variable success rates and are accompanied by either high morbidity or need additional interventions. Endoscopic vacuum therapy (EVT) has recently emerged as an important alternative, potentially providing increased effectiveness in the management of esophageal perforations while averting the need for supplementary therapeutic measures. While EVT has been reviewed previously, limited data integrate clinical, technical, and comparative efficacy outcomes while addressing novel platforms. This paper comprehensively reviews the mechanism of action, indications, technical considerations, adverse events and comparative outcomes with stenting and surgery. It also highlights gaps in practice and emerging innovations, including Eso-Sponge and VACStent.
%U https://ales.amegroups.org/article/view/11176
%V 11
%P 
%@ 2518-6973