Step-by-step instruction: using an endoscopic tack and suture device for gastrointestinal defect closure

Post written by Andrew C. Storm, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.


In this video manuscript, we describe a step-by-step setup and use of a new endoscopic tool for tissue closure and fixation using the X-Tack device. X-Tack consists of a series of tacks on a suture that may be deployed entirely through the working channel of nearly any common endoscope ranging from a diagnostic gastroscope to a colonoscope in order to close gastrointestinal tract defects, among other uses in therapeutic flexible endoscopy.

In our Mayo Rochester Developmental Endoscopy Unit we have been working closely with our industry partner, Apollo Endosurgery (Austin, TX), over the past 2 years to develop, fine-tune, and test the X-Tack device. We wanted to share what we had learned about using the X-Tack device with our colleagues and the readers of VideoGIE who are going to be among the first users of this tool worldwide.

Careful deployment and troubleshooting of the X-Tack device as described in the manuscript and video will help new users of the device get a sense of how to successfully use the device for tissue closure, and how to avoid some of the common pitfalls seen in the early use of the X-Tack system.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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