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Related Experiment Video

Updated: Jul 10, 2026

Evaluation of the Effectiveness of Longitudinal Incision for Endoscopic Submucosal Excavation of Gastric Subepithelial Lesions
04:08

Evaluation of the Effectiveness of Longitudinal Incision for Endoscopic Submucosal Excavation of Gastric Subepithelial Lesions

Published on: April 28, 2026

Cinch-modified reopenable clip over-the-line method for mucosal defect closure.

Chih-Hsien Wang1, Ting-Hsu Liu1, Ming-Lun Han2,3

  • 1Department of Internal Medicine, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan.

Videogie : an Official Video Journal of the American Society for Gastrointestinal Endoscopy
|July 9, 2026
PubMed
Summary

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A new endoscopic technique simplifies closure of large mucosal defects after resection. The cinch-modified reopenable clip over-the-line method (C-ROLM) reduces technical difficulty, potentially preventing adverse events.

Area of Science:

  • Gastroenterology
  • Endoscopic Surgery
  • Medical Device Innovation

Background:

  • Endoscopic mucosal defect closure is crucial after advanced endoscopic resection to prevent complications.
  • The reopenable clip over-the-line method (ROLM) is effective for large defects but technically challenging.
  • A simplified modification using an endoscopic cinch device is presented.

Purpose of the Study:

  • To introduce and evaluate a simplified modification of the ROLM technique.
  • To assess the efficacy and technical feasibility of the cinch-modified ROLM (C-ROLM) for large mucosal defect closure.

Main Methods:

  • The cinch-modified ROLM (C-ROLM) integrates an endoscopic cinch device for simultaneous suture fixation and cutting.
  • Mucosal defect edges are approximated using a reopenable hemostatic clip with a surgical suture.

More Related Videos

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Related Experiment Videos

Last Updated: Jul 10, 2026

Evaluation of the Effectiveness of Longitudinal Incision for Endoscopic Submucosal Excavation of Gastric Subepithelial Lesions
04:08

Evaluation of the Effectiveness of Longitudinal Incision for Endoscopic Submucosal Excavation of Gastric Subepithelial Lesions

Published on: April 28, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

  • The cinch device is advanced over the suture, tensioned, and deployed for secure closure.

    • Main Results:

    • C-ROLM was successfully used to close a 3-cm colonic mucosal defect post-endoscopic submucosal dissection.
    • Complete closure was achieved in 16.5 minutes.
    • No technical difficulties or adverse events were reported.

    Conclusions:

    • C-ROLM simplifies technically demanding steps of the ROLM procedure.
    • This technique may facilitate efficient closure of large mucosal defects.
    • C-ROLM has the potential to reduce postprocedural adverse events.