Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects
This article is a systematic review of relevant literature on endoscopic suturing as a primary closure technique for large submucosal and full-thickness defects after endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic full-thickness resection (EFTR). A compreh...
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Hoon Jai Chun
2018-07-01
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doaj-813c7600c66043319a255fcbacde65ac2020-11-25T02:51:57ZengHoon Jai ChunClinical Endoscopy2234-24002234-24432018-07-0151435235610.5946/ce.2017.1177078Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness DefectsKeshav Kukreja0Suma Chennubhotla1Bharat Bhandari2Ankit Arora3Shashideep Singhal4Divisions of Gastroenterology, Hepatology and Nutrition, University of Texas Health Science Center at Houston, Houston, TX, USADivisions of Gastroenterology, Hepatology and Nutrition, University of Texas Health Science Center at Houston, Houston, TX, USADivisions of Gastroenterology, Hepatology and Nutrition, University of Texas Health Science Center at Houston, Houston, TX, USADivisions of Gastroenterology, Hepatology and Nutrition, University of Texas Health Science Center at Houston, Houston, TX, USADivisions of Gastroenterology, Hepatology and Nutrition, University of Texas Health Science Center at Houston, Houston, TX, USAThis article is a systematic review of relevant literature on endoscopic suturing as a primary closure technique for large submucosal and full-thickness defects after endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic full-thickness resection (EFTR). A comprehensive literature search was conducted through 2016 by using PubMed, to find peer-reviewed original articles. The specific factors considered were the procedural indications and details, success rates, clinical outcomes including complications, and study limitations. Six original articles were included in the final review: two with non-human subjects and four with human subjects. The mean success rate of endoscopic suturing was 97.4% (100% for human subjects and 95.4% for non-human subjects). The procedural time ranged from 7 to 89 min. The average size and depth of lesions were 2.71 cm (3.74 cm [human] and 1.96 cm [non-human]) and 1.52 cm, respectively. The technique itself had no reported impact on mortality. In conclusion, endoscopic suturing is a minimally invasive technique for the primary closure of defects caused by EMR, ESD, and EFTR, with a high success and low complication rate.http://www.e-ce.org/upload/pdf/ce-2017-117.pdfEndoscopic suturingEndoscopic mucosal resectionEndoscopic submucosal dissectionSubmucosal defectsEndoscopic full-thickness defects |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Keshav Kukreja Suma Chennubhotla Bharat Bhandari Ankit Arora Shashideep Singhal |
spellingShingle |
Keshav Kukreja Suma Chennubhotla Bharat Bhandari Ankit Arora Shashideep Singhal Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects Clinical Endoscopy Endoscopic suturing Endoscopic mucosal resection Endoscopic submucosal dissection Submucosal defects Endoscopic full-thickness defects |
author_facet |
Keshav Kukreja Suma Chennubhotla Bharat Bhandari Ankit Arora Shashideep Singhal |
author_sort |
Keshav Kukreja |
title |
Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects |
title_short |
Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects |
title_full |
Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects |
title_fullStr |
Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects |
title_full_unstemmed |
Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects |
title_sort |
closing the gaps: endoscopic suturing for large submucosal and full-thickness defects |
publisher |
Hoon Jai Chun |
series |
Clinical Endoscopy |
issn |
2234-2400 2234-2443 |
publishDate |
2018-07-01 |
description |
This article is a systematic review of relevant literature on endoscopic suturing as a primary closure technique for large submucosal and full-thickness defects after endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic full-thickness resection (EFTR). A comprehensive literature search was conducted through 2016 by using PubMed, to find peer-reviewed original articles. The specific factors considered were the procedural indications and details, success rates, clinical outcomes including complications, and study limitations. Six original articles were included in the final review: two with non-human subjects and four with human subjects. The mean success rate of endoscopic suturing was 97.4% (100% for human subjects and 95.4% for non-human subjects). The procedural time ranged from 7 to 89 min. The average size and depth of lesions were 2.71 cm (3.74 cm [human] and 1.96 cm [non-human]) and 1.52 cm, respectively. The technique itself had no reported impact on mortality. In conclusion, endoscopic suturing is a minimally invasive technique for the primary closure of defects caused by EMR, ESD, and EFTR, with a high success and low complication rate. |
topic |
Endoscopic suturing Endoscopic mucosal resection Endoscopic submucosal dissection Submucosal defects Endoscopic full-thickness defects |
url |
http://www.e-ce.org/upload/pdf/ce-2017-117.pdf |
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