Clinical Endoscopy

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Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects: Keshav Kukreja, Suma Chennubhotla, Bharat Bhandari, Ankit Arora, Shashideep Singhal; Clin Endosc 2018;51(4):352-356. Published online March 5, 2018; DOI: https://doi.org/10.5946/ce.2017.117

This article is a systematic review of relevant literature on endoscopic suturing as a primary closure technique for large submucosal and full-thickness defects after endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic full-thickness resection (EFTR). A comprehensive literature search was conducted through 2016 by using PubMed, to find peer-reviewed original articles. The specific factors considered were the procedural indications and details, success rates, clinical outcomes including complications, and study limitations. Six original articles were included in the final review: two with non-human subjects and four with human subjects. The mean success rate of endoscopic suturing was 97.4% (100% for human subjects and 95.4% for non-human subjects). The procedural time ranged from 7 to 89 min. The average size and depth of lesions were 2.71 cm (3.74 cm [human] and 1.96 cm [non-human]) and 1.52 cm, respectively. The technique itself had no reported impact on mortality. In conclusion, endoscopic suturing is a minimally invasive technique for the primary closure of defects caused by EMR, ESD, and EFTR, with a high success and low complication rate.

Citations

Citations to this article as recorded by

Endoscopic Suturing for Defect Closure in the Upper Gastrointestinal Tract: A Retrospective Cohort Study
Apostolis Papaefthymiou, Nasar Aslam, Benjamin Norton, Andrea Telese, Charles Murray, Alberto Murino, Gavin Johnson, Roberto Simons-Linares, Rehan Haidry
Gastrointestinal Disorders.2025; 7(2): 29. CrossRef
Endoscopic Management of Bariatric Surgery Complications
Abhishek Shenoy, Allison R. Schulman
Gastrointestinal Endoscopy Clinics of North America.2024; 34(4): 655. CrossRef
Colon Sparing Endoscopic Full-Thickness Resection for Advanced Colorectal Lesions: Is It Time for Global Adoption?
Zhong-Wei Wu, Chao-Hui Ding, Yao-Dong Song, Zong-Chao Cui, Xiu-Qian Bi, Bo Cheng
Frontiers in Oncology.2022;[Epub] CrossRef
Application of a traction metal clip with a fishhook-like device in wound sutures after endoscopic resection
Wang Fangjun, Leng Xia, Gao Yi, Shen Xiuyun, Wang Wenping, Liu Huamin, Liu Pengfei
Clinical Endoscopy.2022; 55(4): 525. CrossRef
On the Track of New Endoscopic Alternatives for the Treatment of Selected Gastric GISTs—A Pilot Study
Artur Raiter, Katarzyna M. Pawlak, Katarzyna Kozłowska-Petriczko, Jan Petriczko, Joanna Szełemej, Anna Wiechowska-Kozłowska
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Jessica X. Yu, Allison R. Schulman
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Sha Liu, Xinxin Zhou, YongXing Yao, Keda Shi, Mosang Yu, Feng Ji
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David Friedel
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Nan Ge, Jin-Long Hu, Fei Yang, Fan Yang, Si-Yu Sun
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Endoscopic Sleeve Gastroplasty - A New Tool to Manage Obesity: Deepanshu Jain, Bharat Singh Bhandari, Ankit Arora, Shashideep Singhal; Clin Endosc 2017;50(6):552-561. Published online June 13, 2017; DOI: https://doi.org/10.5946/ce.2017.032

Abstract PDF PubReader ePub

Obesity is a growing pandemic across the world. Dietary restrictions and behavior modifications alone have a limited benefit. Bariatric surgery, despite being the current gold standard, has limited acceptance by patients due to cost and associated morbidity. In our review, we have discussed nine original studies describing endoscopic sleeve gastroplasty (ESG). A total of 172 subjects successfully underwent ESG. Of 65 subjects with follow up data, 95.4% (62/65) had intact gastric sleeve confirmed via esophagogastroduodenoscopy or oral contrast study at the end of study specific follow up interval (the longest being 6 months). Individual studies reported a technical success rate for intact gastric sleeve from as low as 50% to as high as 100%. A statistically significant (p<0.05) weight loss was reported in seven of the eight studies with available data. None of the patients experienced any intra-procedure complications, and approximately 2.3% (4/172) of patients experienced major post-procedure complications; however, no mortality was reported. Majority of the studies reported relatively high incidence of minor post-procedure complications, which improved with symptomatic treatment alone. Good patient tolerance with comparable clinical efficacy in achieving and sustaining desired weight loss makes ESG an attractive option to consider among other bariatric therapies.

Citations

Citations to this article as recorded by

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Avik Sarkar, Augustine Tawadros, Iman Andalib, Haroon M. Shahid, Amy Tyberg, Resheed Alkhiari, Monica Gaidhane, Prashant Kedia, Elizabeth S. John, Bryce Bushe, Guadalupe Ma Martinez, Felipe Zamarripa, Mine C. Carames, Juan C. Carames, Fernando Casarodrigu
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Ravishankar Asokkumar, Mohan Pappu Babu, Inmaculada Bautista, Gontrand Lopez-Nava
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Lawrence J. Cheskin, Christine Hill, Atif Adam, Lea Fayad, Margo Dunlap, Dilhana Badurdeen, Kristen Koller, Linda Bunyard, Robin Frutchey, Haitham Al-Grain, Scott Kahan, Abdellah Hedjoudje, Mouen A. Khashab, Anthony N. Kalloo, Vivek Kumbhari
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João de Siqueira Neto, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Sérgio Alexandre Barrichello, Kelly E Harthorn, Christopher C Thompson
World Journal of Gastrointestinal Endoscopy.2020; 12(3): 111. CrossRef
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Daniel B. Maselli, Ramzi Hani Mulki, Reem Matar, Andrew C. Storm, Barham K. Abu Dayyeh
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Diogo Turiani Hourneaux de Moura, Dilhana S. Badurdeen, Igor Braga Ribeiro, Eduardo Filipe Marques da Silva Dantas Leite, Christopher C. Thompson, Vivek Kumbhari
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Aayed Alqahtani, Abdullah Al-Darwish, Ahmed Elsayed Mahmoud, Yara A. Alqahtani, Mohamed Elahmedi
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Ricardo V. Cohen, Marcus Vinícius Oliveira da Costa, Laura Charry, Elizabeth Heins
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Steven A. Edmundowicz, Christopher C. Thompson
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Sérgio Barrichello, Diogo Turiani Hourneaux de Moura, Eduardo Guimaraes Hourneaux de Moura, Pichamol Jirapinyo, Anna Carolina Hoff, Ricardo José Fittipaldi-Fernandez, Giorgio Baretta, João Henrique Felício Lima, Eduardo N. Usuy, Leonardo Salles de Almeida
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9,798 View
384 Download
27 Web of Science
24 Crossref

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