Post written by Shailendra Singh, MD, and Ayowumi A. Adekolu, MD, from West Virginia University, Morgantown, West Virginia, USA. We present a case series showing the use of a through-the-scope suturing (TTSS) system (X-Tack; Apollo Endosurgery, Austin, Tex, USA) for fixing 2 fully covered self-expandable metal stents (FCSEMSs) for creating longer stents as well as …
Tag: Suturing
Endoscopic repair of a perforated duodenal ulcer: time to close the gap
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. In this video, we demonstrate full-thickness endoscopic closure of an acute duodenal perforation using an over-the-scope suturing system. A 70-year-old patient with a history of abdominal surgeries and concerns for a duodenal perforation was …
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A strategy combining endoscopic hand-suturing with clips for closure of rectal defects after endoscopic submucosal dissection with or without myectomy (with video)
Post written by Guiqi Wang, MD, from the Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. This study retrospectively reviewed data from patients who underwent closure of rectal defects using endoscopic hand-suturing (EHS) with clips (EHS-Clips) at the Cancer Hospital …
Modified double-layered suturing for a mucosal defect after colorectal endoscopic submucosal dissection (Origami method) (with video)
Post written by Teppei Masunaga, MD, and Motohiko Kato, MD, PhD, from the Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. Endoscopic defect closure techniques have been applied to reduce the incidence of adverse events after colorectal endoscopic submucosal dissection (ESD). This retrospective observational study aimed …
Successful management of a duodenal perforation using a through-the-scope suturing device after failed attempt at closure with an over-the-scope clip
Post written by Maham Hayat, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We present a case of a patient with an indwelling percutaneous gastrojejunostomy tube with a chronic perforation in the duodenum from the tip of the displaced tube. Attempt at endoscopic closure using an over-the-scope clip was unsuccessful because of the …
Helix tack suspension for esophageal stent fixation
Post written by Roberto P. Trasolini, MD, MSc, from the Center for Advanced Endoscopy, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. We describe and demonstrate a technique for esophageal stent fixation using through-the-scope (TTS) suturing, a new technique that makes use of helix tacks connected by a 3-0 polypropylene suture …
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Successful endoscopic management of a malignant gastroretroperitoneal fistula
Post written by Ali Alshati, MD, from the Department of Internal Medicine, Maricopa Integrated Health System, Creighton University, Phoenix, Arizona, USA. This is a case of a gastric fistula due to involvement with lymphoma that was successfully managed endoscopically and then with systemic therapy. Endoscopic closure consisted of ablation of the fistula track with argon …
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