[의학신문·일간보사=이상만 기자] Endoscopic negative pressure therapy for perforation and fistula of the upper gastrointestinal tract(EVT, Endoscopic Vacuum Therapy)has been shown to be more effective than conventional stenting..
Yonsei University College of Medicine Yongin Severance Hospital(Hospital Director Choi Dong-hoon) Professor Cheol-woong Huh, Department of Gastroenterology, Professor Hae-ryong Yoon of the Department of Renal Internal Medicine, The research team led by Professor Dahyun Jeong of the Department of Gastroenterology at Severance Hospital SCIinternational academic journal ‘Journal of Clinical Medicine(IF. 4.242)’was published in.
upper gastrointestinal tract, esophagus, stomach, perforation of the duodenum·Fistula is a surgical operation, endoscopy, It is often caused by complications caused by foreign substances, etc.. Peritonitis occurs when the contents of the intestine leak out through a hole in the organ., blood poisoning, It can lead to diseases such as pneumonia and, in severe cases, even life-threatening, so prompt and safe treatment is essential..
Until now, the treatment of perforation and fistula has been widely used by inserting a mesh-shaped stent into the organ., Recently, non-invasive endoscopic negative pressure therapy has been attracting attention.. Insert the sponge into the perforation 120-130mmHgEndoscopic negative pressure therapy to treat under negative pressure of the perforation, It has the advantages of increasing blood flow in the fistula and inhibiting bacterial growth, promoting wound healing and lowering the risk of infection..
But, Due to the lack of related research, the effect of endoscopic negative pressure therapy 66%at 100%It was inaccurately estimated until. Professor Cheol-Woong Huh’s team perforated the upper gastrointestinal tract to objectively reveal the effect of treatment.·Total on fistula treatment 29study of dogs498A systematic meta-analysis was performed on three patients..
As a result of the analysis, the success rate of endoscopic negative pressure treatment for upper gastrointestinal perforation and fistula was 85%Conventional stent treatment with(60-65%)significantly higher than. Also, The mortality rate of endoscopic negative pressure treatment was half that of stent treatment, and the treatment period was also shorter..
Professor Heo Cheol-woong “Through the study, it was confirmed that endoscopic negative pressure therapy is a safer treatment with high therapeutic effect compared to conventional stenting.”as “As we have confirmed the excellence of endoscopic negative pressure treatment, we will expand the application of treatment and related research so that many patients can benefit from advanced medical care.”said.
Meanwhile, Endoscopic negative pressure treatment at Yongin Severance Hospital Gastroenterology Department, We are performing high-level endoscopic procedures such as endoscopic dissection., Intractable perforation that is difficult to treat through this·fistula, We provide excellent medical services to patients with gastrointestinal cancer..
