{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T07:42:41Z","timestamp":1767858161711,"version":"3.49.0"},"reference-count":46,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Best Practice &amp; Research Clinical Gastroenterology"],"published-print":{"date-parts":[[2024,6]]},"DOI":"10.1016\/j.bpg.2024.101927","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T18:45:05Z","timestamp":1718045105000},"page":"101927","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["Applications of endoscopic vacuum therapy in the lower gastrointestinal tract: Tips and tricks and a review of the literature"],"prefix":"10.1016","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8294-6673","authenticated-orcid":false,"given":"Konstantinos","family":"Kouladouros","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.bpg.2024.101927_bib1","first-page":"1","article-title":"A new method for sepsis control caused by anastomotic leakage in rectal surgery - the endo-VAC","volume":"5","author":"Weidenhagen","year":"2003","journal-title":"Colorectal Dis"},{"key":"10.1016\/j.bpg.2024.101927_bib2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1007\/s00104-018-0725-z","article-title":"Tips and tricks for endoscopic negative pressure therapy","volume":"90","author":"Loske","year":"2019","journal-title":"Chirurg"},{"key":"10.1016\/j.bpg.2024.101927_bib3","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1097\/DCR.0000000000001202","article-title":"Different risk factors for early and late colorectal anastomotic leakage in a nationwide audit","volume":"61","author":"Sparreboom","year":"2018","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.bpg.2024.101927_bib4","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1097\/SLA.0b013e3181dae4ed","article-title":"Postoperative complications following surgery for rectal cancer","volume":"251","author":"Paun","year":"2010","journal-title":"Ann Surg"},{"key":"10.1016\/j.bpg.2024.101927_bib5","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1007\/s10151-020-02153-5","article-title":"Anastomotic leak and cancer-specific outcomes after curative rectal cancer surgery: a systematic review and meta-analysis","volume":"24","author":"Karim","year":"2020","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.bpg.2024.101927_bib6","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1097\/DCR.0000000000002454","article-title":"Impact of anastomotic leak on long-term oncological outcomes after restorative surgery for rectal cancer: a retrospective cohort study","volume":"66","author":"Engel","year":"2023","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.bpg.2024.101927_bib7","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1097\/DCR.0000000000000822","article-title":"Management of low colorectal anastomotic leakage in the laparoscopic era: more than a decade of experience","volume":"60","author":"Boyce","year":"2017","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.bpg.2024.101927_bib8","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1097\/DCR.0000000000000554","article-title":"Anastomotic leaks after restorative resections for rectal cancer compromise cancer outcomes and survival","volume":"59","author":"Lu","year":"2016","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.bpg.2024.101927_bib9","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1097\/DCR.0000000000001129","article-title":"Outcome after redo surgery for complicated colorectal and coloanal anastomosis: a systematic review","volume":"61","author":"Westerduin","year":"2018","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.bpg.2024.101927_bib10","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1111\/codi.16025","article-title":"Redo-surgery after failed colorectal or coloanal anastomosis: morbidity, mortality and factors predictive of success. A retrospective study of 200 patients","volume":"24","author":"Calmels","year":"2022","journal-title":"Colorectal Dis"},{"issue":"Suppl 1","key":"10.1016\/j.bpg.2024.101927_bib11","article-title":"Anastomotic leakage following anterior resection for rectal cancer","volume":"8","author":"Kanellos","year":"2004","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.bpg.2024.101927_bib12","doi-asserted-by":"crossref","first-page":"6687","DOI":"10.1007\/s00464-020-08172-5","article-title":"Endoscopic vacuum therapy for in- and outpatient treatment of colorectal defects","volume":"35","author":"K\u00fchn","year":"2021","journal-title":"Surg Endosc"},{"key":"10.1016\/j.bpg.2024.101927_bib13","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/codi.14754","article-title":"Endoluminal negative pressure therapy in colorectal anastomotic leaks","volume":"22","author":"Popivanov","year":"2020","journal-title":"Colorectal Dis"},{"key":"10.1016\/j.bpg.2024.101927_bib14","doi-asserted-by":"crossref","DOI":"10.1093\/bjsopen\/zrac123","article-title":"Use of sponge-assisted endoluminal vacuum therapy for the treatment of colorectal anastomotic leaks: expert panel consensus","volume":"6","author":"Bemelman","year":"2022","journal-title":"BJS Open"},{"key":"10.1016\/j.bpg.2024.101927_bib15","doi-asserted-by":"crossref","first-page":"1818","DOI":"10.1007\/s00464-007-9706-x","article-title":"Endoscopic vacuum-assisted closure of anastomotic leakage following anterior resection of the rectum: a new method","volume":"22","author":"Weidenhagen","year":"2008","journal-title":"Surgical Endoscopy and Other Interventional Techniques"},{"key":"10.1016\/j.bpg.2024.101927_bib16","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/00365521.2020.1861645","article-title":"Endoscopic negative pressure therapy for leaks with large cavities in the upper gastrointestinal tract: is it a feasible therapeutic option?","volume":"56","author":"Kouladouros","year":"2021","journal-title":"Scand J Gastroenterol"},{"key":"10.1016\/j.bpg.2024.101927_bib17","doi-asserted-by":"crossref","first-page":"2049","DOI":"10.1007\/s00384-022-04240-5","article-title":"International expert opinion on optimal treatment of anastomotic leakage after rectal cancer resection: a case-vignette study","volume":"37","author":"Talboom","year":"2022","journal-title":"Int J Colorectal Dis"},{"key":"10.1016\/j.bpg.2024.101927_bib18","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1007\/s11605-015-3017-7","article-title":"Endoscopic vacuum therapy in colorectal surgery","volume":"20","author":"Kuehn","year":"2016","journal-title":"J Gastrointest Surg"},{"key":"10.1016\/j.bpg.2024.101927_bib19","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1007\/s00464-020-07569-6","article-title":"Endoscopic vacuum therapy for treatment of rectal stump leakage","volume":"35","author":"K\u00fchn","year":"2021","journal-title":"Surg Endosc"},{"key":"10.1016\/j.bpg.2024.101927_bib20","article-title":"Endoluminal vacuum therapy (EVT) for the treatment of rectal perforation following cleansing enema application","volume":"15","author":"Sozutek","year":"2023","journal-title":"Cureus"},{"key":"10.1016\/j.bpg.2024.101927_bib21","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1159\/000525402","article-title":"Endoscopic vacuum therapy for iatrogenic rectal perforation","volume":"16","author":"Zumblick","year":"2022","journal-title":"Case Rep Gastroenterol"},{"key":"10.1016\/j.bpg.2024.101927_bib22","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1159\/000535029","article-title":"The role of open-pore film drainage systems in endoscopic vacuum therapy: current status and review of the literature","volume":"39","author":"Kouladouros","year":"2024","journal-title":"Visc Med"},{"key":"10.1016\/j.bpg.2024.101927_bib23","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/DCR.0000000000001959","article-title":"Endoscopic vacuum therapy for left-sided colorectal anastomotic leak without fecal diversion","volume":"65","author":"K\u00fchn","year":"2022","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.bpg.2024.101927_bib24","doi-asserted-by":"crossref","first-page":"2261","DOI":"10.1007\/s00384-021-04011-8","article-title":"Management of colorectal anastomotic leakage using endoscopic negative pressure therapy with or without protective ostomy: a retrospective study","volume":"36","author":"\u015eandra-Petrescu","year":"2021","journal-title":"Int J Colorectal Dis"},{"key":"10.1016\/j.bpg.2024.101927_bib25","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2023.1222993","article-title":"Editorial: endoscopic vacuum therapy (EVT) in the gastrointestinal tract-a paradigm shift in the surgical treatment and prevention of anastomotic insufficiencies and perforations","volume":"10","author":"Heiss","year":"2023","journal-title":"Front Surg"},{"key":"10.1016\/j.bpg.2024.101927_bib26","doi-asserted-by":"crossref","first-page":"8280","DOI":"10.1007\/s00464-022-09274-y","article-title":"Endoscopic vacuum-assisted surgical closure (EVASC) of anastomotic defects after low anterior resection for rectal cancer; lessons learned","volume":"36","author":"Talboom","year":"2022","journal-title":"Surg Endosc"},{"key":"10.1016\/j.bpg.2024.101927_bib27","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1007\/s10151-020-02200-1","article-title":"The use of Endo-SPONGE\u00ae in rectal anastomotic leaks: a systematic review","volume":"24","author":"Mahendran","year":"2020","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.bpg.2024.101927_bib28","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1007\/s13304-023-01518-3","article-title":"Assessment of the efficacy of handmade vacuum-assisted sponge drain for treatment of anastomotic leakage after low anterior rectal resection","volume":"75","author":"Keshvari","year":"2023","journal-title":"Updates Surg"},{"key":"10.1016\/j.bpg.2024.101927_bib29","doi-asserted-by":"crossref","DOI":"10.1007\/s00384-023-04418-5","article-title":"Challenges in the interdisciplinary treatment of leakages after left-sided colorectal surgery: endoscopic negative pressure therapy, open-pore film drainage therapy and beyond","volume":"38","author":"Scognamiglio","year":"2023","journal-title":"Int J Colorectal Dis"},{"key":"10.1016\/j.bpg.2024.101927_bib30","doi-asserted-by":"crossref","first-page":"E971","DOI":"10.1055\/a-1474-9932","article-title":"VACStent: combining the benefits of endoscopic vacuum therapy and covered stents for upper gastrointestinal tract leakage","volume":"9","author":"Lange","year":"2021","journal-title":"Endosc Int Open"},{"key":"10.1016\/j.bpg.2024.101927_bib31","doi-asserted-by":"crossref","DOI":"10.1007\/s00464-023-09861-7","article-title":"The VACStent trial: combined treatment of esophageal leaks by covered stent and endoscopic vacuum therapy","author":"Lange","year":"2023","journal-title":"Surg Endosc"},{"key":"10.1016\/j.bpg.2024.101927_bib32","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1007\/s00464-008-0186-4","article-title":"The Dutch multicenter experience of the endo-sponge treatment for anastomotic leakage after colorectal surgery","volume":"23","author":"Van Koperen","year":"2009","journal-title":"Surg Endosc"},{"key":"10.1016\/j.bpg.2024.101927_bib33","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1097\/DCR.0000000000001560","article-title":"Short-term and long-term outcome of endoluminal vacuum therapy for colorectal or coloanal anastomotic leakage: results of a nationwide multicenter cohort study from the French GRECCAR group","volume":"63","author":"Abdalla","year":"2020","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.bpg.2024.101927_bib34","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s104-002-8023-z","article-title":"Postoperative Endoskopie zur Diagonse und Therapie von Komplikationen","volume":"73","author":"Meyer","year":"2002","journal-title":"Chirurg"},{"key":"10.1016\/j.bpg.2024.101927_bib35","doi-asserted-by":"crossref","first-page":"8881","DOI":"10.1007\/s00464-022-09323-6","article-title":"Early postoperative endoscopic evaluation of rectal anastomoses: a prospective cross-sectional study","volume":"36","author":"Axt","year":"2022","journal-title":"Surg Endosc"},{"key":"10.1016\/j.bpg.2024.101927_bib36","first-page":"649","article-title":"Long-term efficacy of vacuum-assisted therapy (Endo-SPONGE\u00ae) in large anastomotic leakages following anterior rectal resection","volume":"30","author":"Mussetto","year":"2017","journal-title":"Ann Gastroenterol"},{"key":"10.1016\/j.bpg.2024.101927_bib37","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s10151-020-02363-x","article-title":"The \u201cimpossible\u201d rectal anastomosis: a novel use for endoluminal vacuum-assisted therapy","volume":"25","author":"Lehwald-Tywuschik","year":"2021","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.bpg.2024.101927_bib38","doi-asserted-by":"crossref","first-page":"E1342","DOI":"10.1055\/a-1490-8783","article-title":"Endo-sponge in management of anastomotic colorectal leaks: a systematic review and meta-analysis","volume":"9","author":"Dhindsa","year":"2021","journal-title":"Endosc Int Open"},{"key":"10.1016\/j.bpg.2024.101927_bib39","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s00464-017-5679-6","article-title":"Vacuum-assisted early transanal closure of leaking low colorectal anastomoses: the CLEAN study","volume":"32","author":"Borstlap","year":"2018","journal-title":"Surg Endosc"},{"key":"10.1016\/j.bpg.2024.101927_bib40","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1093\/bjs\/znac158","article-title":"Endoscopic vacuum therapy and early surgical closure after pelvic anastomotic leak: meta-analysis of bowel continuity rates","volume":"109","author":"de Lacy","year":"2022","journal-title":"Br J Surg"},{"key":"10.1016\/j.bpg.2024.101927_bib41","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1007\/s00384-021-04066-7","article-title":"Endoscopic vacuum therapy for the treatment of colorectal leaks - a systematic review and meta-analysis","volume":"37","author":"K\u00fchn","year":"2022","journal-title":"Int J Colorectal Dis"},{"key":"10.1016\/j.bpg.2024.101927_bib42","doi-asserted-by":"crossref","DOI":"10.1177\/1756284819877606","article-title":"Neoadjuvant radio-chemotherapy prolongs healing of anastomotic leakage after rectal resection treated with endoscopic vacuum therapy","volume":"12","author":"Schiffmann","year":"2019","journal-title":"Therap Adv Gastroenterol"},{"key":"10.1016\/j.bpg.2024.101927_bib43","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1007\/s10151-019-02007-9","article-title":"Effectiveness of endosponge therapy for the management of presacral abscesses following rectal surgery","volume":"23","author":"Huisman","year":"2019","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.bpg.2024.101927_bib44","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1007\/s00268-019-05349-5","article-title":"Comparison between endoscopic vacuum therapy and conventional treatment for leakage after rectal resection","volume":"44","author":"K\u00fchn","year":"2020","journal-title":"World J Surg"},{"key":"10.1016\/j.bpg.2024.101927_bib45","doi-asserted-by":"crossref","DOI":"10.3390\/jcm12154933","article-title":"Management of anastomotic leakage after colorectal resection: survey among the German CHIR-net centers","volume":"12","author":"\u0218andra-Petrescu","year":"2023","journal-title":"J Clin Med"},{"key":"10.1016\/j.bpg.2024.101927_bib46","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.1099549","article-title":"SEVTAR-A multicenter randomized controlled trial to investigate the impact of prophylactic endoluminal placed vacuum sponge for prevention of anastomotic leakage after low rectal resections","volume":"9","author":"Schiffmann","year":"2023","journal-title":"Front Surg"}],"container-title":["Best Practice &amp; Research Clinical Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1521691824000520?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1521691824000520?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T11:20:26Z","timestamp":1750677626000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1521691824000520"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":46,"alternative-id":["S1521691824000520"],"URL":"https:\/\/doi.org\/10.1016\/j.bpg.2024.101927","relation":{},"ISSN":["1521-6918"],"issn-type":[{"value":"1521-6918","type":"print"}],"subject":[],"published":{"date-parts":[[2024,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Applications of endoscopic vacuum therapy in the lower gastrointestinal tract: Tips and tricks and a review of the literature","name":"articletitle","label":"Article Title"},{"value":"Best Practice & Research Clinical Gastroenterology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bpg.2024.101927","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"101927"}}