• Home
  • NEW DAY MEDICINE
  • 8 (82) 2025
  • 70 -8 (82) 2025 - Urokov Sh.T., Abidov U.O. - CLINICAL EFFECTIVENESS OF ENDOSCOPIC VACUUM THERAPY IN DUODENAL PERFORATIONS AND INJURIES

70 -8 (82) 2025 - Urokov Sh.T., Abidov U.O. - CLINICAL EFFECTIVENESS OF ENDOSCOPIC VACUUM THERAPY IN DUODENAL PERFORATIONS AND INJURIES

CLINICAL EFFECTIVENESS OF ENDOSCOPIC VACUUM THERAPY IN DUODENAL PERFORATIONS AND INJURIES

Urokov Sh.T. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Abidov U.O. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Masharipov Kh.K. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

This study analyzed the clinical effectiveness of endoscopic vacuum therapy (EVT) in the management of duodenal perforations and injuries treated between 2021 and 2025 at the Bukhara and Khorezm branches of the Republican Scientific Center for Emergency Medical Care, as well as their emergency surgery departments. Closed duodenal injuries accounted for 1.9% of all abdominal organ injuries. In most patients, EVT was performed in combination with an upper midline laparotomy and Kocher–Clermont mobilization. Under negative pressure, EVT enabled infection control, stimulation of granulation tissue growth, and acceleration of healing. The use of EVT resulted in reduced complication rates, fewer relaparotomies, shorter hospital stays, and higher primary healing rates. The findings confirmed the effectiveness and safety of EVT in severe duodenal injuries and suture dehiscence, supporting its broad implementation in clinical practice.

Keywords: duodenum; perforation; injury; endoscopic vacuum therapy; suture dehiscence; retroperitoneal phlegmon.

First page

399

Last page

405

For citation:Urokov Sh.T., Abidov U.O., Masharipov Kh.K. - CLINICAL EFFECTIVENESS OF ENDOSCOPIC VACUUM THERAPY IN DUODENAL PERFORATIONS AND INJURIES//New Day in Medicine 8(82)2025 399-405 https://newdayworldmedicine.com/en/new_day_medicine/8-82-2025

List of References

  1. Абакумов, М.М. Повреждения двенадцатиперстной кишки/ М.М. Абакумов, Р.Н. Чирков. - М.: Издательство: "Бином" 2014; 152 с.
  2. Иоскевич НН. Повреждения двенадцатиперстной кишки: вопросы диагностики и хирургического лечения. Журнал ГрГМУ (Journal GrSMU) [Интернет]. 15 ноябрь 2018г. [цитируется по 11 май 2025;16(5):615-21. доступно на: http://journal-grsmu.by/index.php/ojs/article/view/2331/
  3. Smallwood, N.R. The use of endoluminal vacuum (E-Vac) therapy in the management of upper gastrointestinal leaks and perforations / N.R. Smallwood, J.W. Fleshman, S.G. Leeds [et al.] // Surg. Endosc. 2016;30(6):2473-2480.
  4. Singh, S. Blunt duodenal trauma / S. Singh, S. Khichy // J. Coll. Physicians Surg. Pak. 2013;23(1):350-352.
  5. Anton, J.J. Management of duodenal trauma / J.J. Anton // Trauma Acute Care Surg. 2019;87(3):739-740.
  6. Soreide K., Thorsen K., Harrison E.M. Perforated peptic ulcer // Lancet.-2015; Monino, L., & Moreels, T. G. - 2023. Endoscopic Vacuum Therapy of Upper Gastrointestinal Anastomotic Leaks.
  7. de Moura, D. T. H., Hirsch, B. S., Ribas, P. H. B. V., Silveira, S. Q., Guedes, H. G., Bestetti, A. M. (2024). Endoscopic vacuum therapy: pitfalls, tips and tricks, insights, and perspectives. Translational gastroenterology and hepatology, 9, 50. https://doi.org/10.21037/tgh-23-86
  8. Glatz, T. Vacuum sponge therapy using the pull-through technique via a percutaneous endoscopic gastrostomy to treat iatrogenic duodenal perforation / T. Glatz, A. Fischer, J. Hoeppner [et al.] // Endoscopy. 2015;47(1):567-568.
  9. Monino L., Moreels, T.G. (2023). Endoscopic Vacuum Therapy of Upper Gastrointestinal Anastomotic Leaks: How to Deal with the Challenges (with Video). Life, 2023;13(6):1412. https://doi.org/10.3390/life13061412

    file

    download