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Current applications of endoscopic suturing.

Stavros N Stavropoulos1, Rani Modayil1, David Friedel1

  • 1Stavros N Stavropoulos, Rani Modayil, David Friedel, Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, Mineola, NY 11501, United States.

World Journal of Gastrointestinal Endoscopy
|July 21, 2015
PubMed
Summary

Endoscopic suturing, once experimental, is now a common gastroenterologist tool. The Apollo OverStitch device facilitates various gastrointestinal defect closures and revisions, improving procedural outcomes.

Keywords:
Endoscopic bariatric surgeryEndoscopic full thickness resectionEndoscopic sleeveEndoscopic suturingNatural Orifice Transluminal Endoscopic surgeryPeroral endoscopic myotomyTransoral outlet reduction

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Area of Science:

  • Gastroenterology
  • Endoscopic Surgery

Background:

  • Endoscopic suturing was historically experimental and surgeon-led.
  • Advancements have made endoscopic suturing more accessible and widely adopted by gastroenterologists.

Purpose of the Study:

  • To highlight the expanded applications and ease of implementation of endoscopic suturing.
  • To showcase the versatility of the Apollo OverStitch suturing device in various gastrointestinal procedures.

Main Methods:

  • Utilized the Apollo OverStitch suturing device.
  • Applied the device for diverse indications including defect closure, stent fixation, and fistula management.

Main Results:

  • Successfully closed perforations and full-thickness gastrointestinal defects.
  • Facilitated mucosotomy closure during peroral endoscopic myotomy.
  • Enabled stent fixation, fistula closure, and defect closure for various endoscopic resections and Natural Orifice Transluminal Endoscopic Surgery (NOTES).
  • Applied for gastrojejunal anastomosis revision and primary sleeve gastroplasty in bariatric surgery.

Conclusions:

  • Endoscopic suturing, particularly with devices like the Apollo OverStitch, is a practical and versatile tool for gastroenterologists.
  • The technology has evolved beyond experimental status, enabling a broader range of therapeutic interventions within the gastrointestinal tract.