We have recently published the results of our broad experience with this technique. With a correct indication and technique it is safe and effective.
Kühn F, Wirth U, Zimmermann J, et al. Endoscopic vacuum therapy for in- and outpatient treatment of colorectal defects. Surg Endosc. 2021;35(12):6687-6695. doi:10.1007/s00464-020-08172-5
Kühn F, Hasenhütl SM, Hofmann FO, et al. Endoscopic Vacuum Therapy for Left-Sided Colorectal Anastomotic Leak Without Fecal Diversion [published online ahead of print, 2021 Oct 8]. Dis Colon Rectum. 2021;10.1097/DCR.0000000000001959. doi:10.1097/DCR.0000000000001959
Systematic review and meta-analysis:
Kühn F, Schardey J, Wirth U, et al. Endoscopic vacuum therapy for the treatment of colorectal leaks - a systematic review and meta-analysis [published online ahead of print, 2021 Nov 24]. Int J Colorectal Dis. 2021;10.1007/s00384-021-04066-7. doi:10.1007/s00384-021-04066-7