Endoscopic tissue approximation in clinical practice and the OverStitch device: a narrative review

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Endoscopic Technology

Background:

• Endoscopy has evolved significantly, offering minimally invasive solutions for conditions like GI bleeding, full-thickness injuries, obesity, and achalasia.
• Advancements in endoscopic technology have transformed treatment paradigms over several decades.

Purpose of the Study:

• To review modern endoscopic tissue approximation and suturing technologies.
• To provide an overview of available devices and their clinical applications in gastrointestinal tract conditions.

Main Methods:

• A narrative review of literature published within the last 15 years was conducted.
• Focus was placed on devices for endoscopic tissue approximation and suturing.

Main Results:

• New devices such as through-the-scope (TTS) and over-the-scope (OTS) clips, and suturing devices (OverStitch, X-Tack) facilitate advanced endoscopic tissue approximation.
• These technologies enable the management of diverse gastrointestinal conditions.

Conclusions:

• Endoscopic clips and suturing devices represent significant advancements in managing GI tract conditions.
• Surgeons must actively participate in the development and utilization of these technologies to foster innovation and maintain expertise.
• Further research into the minimally invasive applications of these evolving devices is essential.