# Favorable outcome of a gastrocutaneous fistula managed with EndoVAC therapy post-bariatric surgery: a case report

## TL;DR

A patient with a gastrocutaneous fistula after bariatric surgery was successfully treated with a minimally invasive vacuum therapy, avoiding surgery.

## Contribution

This case report highlights the effectiveness of endoluminal vacuum-assisted closure therapy for post-bariatric fistulas.

## Key findings

- EndoVAC therapy successfully managed a gastrocutaneous fistula post-bariatric surgery.
- The patient had a favorable outcome without needing surgical intervention.
- Current evidence supports high success rates and safety of EVT for postbariatric leaks.

## Abstract

This case report details the successful management of a gastrocutaneous fistula following bariatric surgery using endoluminal vacuum-assisted closure therapy (EVT/EVAC). Recognized increasingly in recent literature as an effective minimally invasive approach, EVT promotes fistula closure through continuous negative pressure applied via endoscopically placed sponges, facilitating wound drainage, tissue granulation, and defect healing. The patient’s favorable outcome underscores EVT’s potential as a safe alternative to surgical repair, especially in complex or refractory cases. A review of current evidence highlights high success rates and safety profiles for EVT in managing postbariatric leaks and fistulas, emphasizing its growing role in endoscopic therapeutic strategies.