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Indications and efficacy of endoscopic vacuum‐assisted closure therapy for upper gastrointestinal perforations

Endoscopic vacuum‐assisted closure (EndoVAC) therapy is a recent innovation described for use in upper gastrointestinal perforations and leaks, with reported success of 80–90%. It provides sepsis control and collapses the cavity preventing stasis, encouraging healing of the defect. Whilst promising, initial reports of this new technique have not established clear indications, feasibility and optimal technique.