Endoscopic treatment of rectovesical fistula after colorectal anastomosis: tube-in-tube endoscopic vacuum therapy method

Abstract

Video 1 Tube-in-tube endoscopic vacuum therapy method (TT-EVT). ¶Fig.1 Computed tomography with intravesical contrast infusion showing rectovesical fistula communicating with surgical drain.

Gracilis Muscle Flap Repair For Rectovesical Fistula After Robotic Prostatectomy

“…Considering that few peer-reviewed articles 1–3 offer a solution for these fistulas, this educational video serves as a guide in treating refractory rectovesical or rectourethral fistulas. See Video Vignette.…”

Endoscopic vacuum therapy in a patient without nasal access

“…The gastrostomy tube was removed. A 14-Fr Levine tube was passed through the abdominal drain, creating a tube-in-tube endoscopic vacuum therapy (TT-EVT) [2][3][4] system for intracavitary therapy. Furthermore, an endoscopic gastrojejunostomy was performed for gastric decompression and enteral feeding.…”

Tube‐in‐tube endoscopic vacuum therapy for treatment of colorectal anastomotic leaks: A low‐cost, patient‐friendly, feasible and efficient technical modification of sponge‐based endoscopic vacuum therapy

“…Its application was extended to the treatment of upper gastrointestinal (GI) tract leaks and perforations [2]. Tube-in-tube endoscopic vacuum therapy (TT-EVT) was first described for the treatment of upper GI leaks and perforations [3,4]. According to the IDEAL-D framework for developing and evaluating innovative devices, we are at the early phase (Stage 2A) of application of TT-EVT for treatment of colorectal anastomotic leaks, following a standardized management flowchart [5][6][7] (Figure 1).…”