Post written by Andy Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. The availability of suture-based technologies is growing in flexible GI endoscopy, with one of the newcomers the X-Tack device (Boston Scientific, Marlborough, Mass, USA). This device, conceived with Dr Christopher Gostout and Apollo Endosurgery, uses steel “screws” or tacks that are drilled into …
Continue reading Tack-only fixation of lumen-apposing metal stents: leave the suture at home
Post written by Kohei Ono, MD, from NTT Medical Center Tokyo, Tokyo, Japan. In this video, we present a simple, easy, and robust method for closing mucosal defects after colorectal endoscopic submucosal dissection using reopenable clips, nylon thread, and an endoloop in a short period. Various methods for suturing mucosal defects after endoscopic treatment have been reported, …
Post written by Arunkumar Krishnan, MBBS, from the Section of Gastroenterology and Hepatology, West Virginia University School of Medicine, Morgantown, West Virginia, USA. We demonstrate a technique for the closure of pancreatocolonic fistulae (PCF) using an X-Tack Endoscopic HeliX System (Apollo Endosurgery, Austin, Tex, USA). GI tract fistulation is an uncommon but important consequence of acute …
GIE Senior Associate Editor John R. Saltzman, MD, highlights this article from the February issue: “Initial multicenter experience using a novel endoscopic tack and suture system for challenging GI defect closure and stent fixation (with video)” by Tala Mahmoud, MD, et al. Large mucosal defects that occur after snare resection, EMR, or ESD can be …
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