Endoscopic management of gastrointestinal wall defects, fistula closure, and stent fixation using through-the-scope tack and suture system.
Endoscopy
; 55(8): 766-772, 2023 08.
Article
em En
| MEDLINE
| ID: mdl-36693419
ABSTRACT
BACKGROUND:
Multiple devices are available for tissue approximation. A new through-the-scope suturing (TTSS) device has recently been introduced; however, data on its scope of use and clinical effectiveness are limited. We aimed to assess the clinical course and effectiveness of this TTSS device.METHODS:
A retrospective review was performed for consecutive patients who underwent TTSS application. Primary outcomes were technical and clinical success, and secondary outcomes included adverse events and long-term clinical success.RESULTS:
53 patients (mean age 67.8 years; 69.8â% females) were included, with a mean defect size of 32.6âmm (SD 11.9). Technical success was achieved in 51 patients (96.2â%). Clinical success was achieved in 49 patients (92.4â%). Two patients (3.8â%) experienced failed fistula closure after technical success. Long-term follow-up (>â30 days) was available for 45 patients (84.9â%), with a mean follow-up of 7.2 months. One patient (1.9â%) had self-reported bleeding that did not require further intervention.CONCLUSIONS:
TTTS was an effective and safe method for the closure of large gastrointestinal defects and could be used for fistula closure and stent fixation, making it a valuable addition to the armamentarium of endoscopic closure devices.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Endoscopia Gastrointestinal
/
Fístula
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos