Endoscopic closure devices: A review of technique and application for hemostasis

Wellington, Jennifer; Canakis, Andrew; Kim, Woojin

doi:10.18528/ijgii190012

Cited by 4 publications

(3 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The OverStitch endoscopic suturing system has been reported to cost approximately $1000, with an additional cost of $125 per unit for each suture and cinch. 22 In contrast, 1 X-Tack suturing system along with a cinch costs up to $695. Determining best practice and cost-efficiency of these various closure devices is desirable.…”

Section: Discussionmentioning

confidence: 99%

Initial multicenter experience using a novel endoscopic tack and suture system for challenging GI defect closure and stent fixation (with video)

Mahmoud

Song

Stavropoulos

et al. 2022

Gastrointestinal Endoscopy

View full text Add to dashboard Cite

Background and Aims: Closure of endoscopic resection defects can be achieved with through-the-scope clips, over-the-scope clips, or endoscopic suturing. However, these devices are often limited by their inability to close large, irregular, and difficult-to-reach defects. Thus, we aimed to assess the feasibility and safety of a novel through-the-scope, suture-based closure system developed to overcome these limitations.Methods: This was a retrospective multicenter study involving 8 centers in the United States. Primary outcomes were feasibility and safety of early use of the device. Secondary outcomes were assessment of need for additional closure devices, prolonged procedure time, and technical feasibility of performing the procedure with an alternative device(s).Results: Ninety-three patients (48.4% women) with mean age 63.6 AE 13.1 years were included. Technical success was achieved in 83 patients (89.2%), and supplemental closure was required in 24.7% of patients (n Z 23) with a

show abstract

Section: Discussionmentioning

confidence: 99%

Initial multicenter experience using a novel endoscopic tack and suture system for challenging GI defect closure and stent fixation (with video)

Mahmoud

Song

Stavropoulos

et al. 2022

Gastrointestinal Endoscopy

View full text Add to dashboard Cite

show abstract

“…Various through the scope endoscopic clips have allowed for control of gastrointestinal bleeding, and approximation of mucosal injuries and full thickness defects ( Figure 1 , Video 1 : 0:09, 1:22). The use of endoscopic clips was initially described over 30 years ago ( 1 ). Since then, the variety and functionality of modern-day clips has progressed exponentially.…”

Section: Introductionmentioning

confidence: 99%

“…Most of the modern through the scope clips can be used in an endoscope with a 2.8-mm working channel, which is the majority of the diagnostic endoscopes on the market. These clips can be used as an effective monotherapy for hemostasis, when compared to injections or thermal coagulation ( 1 , 2 ). Overall, through the scope clips allow for excellent field exposure and visualization due to their compact size, and can be used in most commercially available endoscopes.…”

Section: Introductionmentioning

confidence: 99%

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

Miller¹,

Magarinos²,

Akcelik³

et al. 2023

Ann Esophagus

View full text Add to dashboard Cite

Objective: The current article describes modern endoscopic technologies that allow for advanced endoscopic tissue approximation and suturing. These technologies include such devices as through the scope and over the scope clips, endoscopic suturing OverStitch device and through the scope suturing X-Tack device. Background: Since the original introduction of the diagnostic endoscopy, progress in the field has been astonishing. Over the past several decades endoscopy has made numerous advancements allowing for a minimally invasive mechanism to treat life threatening conditions such as gastrointestinal (GI) bleeding, full thickness injuries, as well as chronic medical conditions such as morbid obesity and achalasia. Methods: A narrative review of all relevant and available literature on endoscopic tissue approximation devices over the last 15 years ago was conducted. Conclusions: Multiple new devices, including endoscopic clips and endoscopic suturing devices, have been developed for endoscopic tissue approximation that allow advanced endoscopic management of a wide variety of GI tract conditions. It is critical for practicing surgeons to actively participate in the development and use of these new technologies and devices in order to maintain leadership in the field, hone expertise, and to drive innovation. Further research in minimally invasive applications for these devices is needed as they continue to be refined. This article provides a general overview of the devices available and their clinical applications.

show abstract

Efficacy, Feasibility, and Safety of the X-Tack Endoscopic HeliX Tacking System

Canakis,

Dawod,

Dawod

et al. 2024

Journal of Clinical Gastroenterology

View full text Add to dashboard Cite

Background and Aims: The application of endoscopic suturing has revolutionized defect closures. Conventional over-the-scope suturing necessitates removal of the scope, placement of the device, and reinsertion. A single channel, single sequence, through-the-scope suturing device has been developed to improve this process. This study aims to describe the efficacy, feasibility, and safety of a through-the-scope suturing device for gastrointestinal defect closure. Methods: This was a retrospective multicenter study involving 9 centers of consecutive adult patients who underwent suturing using the X-Tack Endoscopic HeliX Tacking System (Apollo Endosurgery). The primary outcomes were technical success and long-term clinical success. Secondary outcomes included adverse events, recurrence, and reintervention rates. Results: In all, 56 patients (mean age 53.8, 33 women) were included. Suturing indications included fistula repair (n=22), leak repair (n=7), polypectomy defect closure (n=12), peroral endoscopic myotomy (POEM) site closure (n=7), perforation repair (n=6), and ulcers (n=2). Patients were followed at a mean duration of 74 days. Overall technical and long-term clinical success rates were 92.9% and 75%, respectively. Both technical and clinical success rates were 100% for polypectomies, POEM-site closures, and ulcers. Success rates were lower for the repair of fistulas (95.5% technical, 54.5% clinical), leaks (57.1%, 28.6%), and perforations (100%, 66.7%). No immediate adverse events were noted. Conclusion: This novel, through-the-scope endoscopic suturing system, is a safe and feasible method to repair defects that are ≤3 cm. The efficacy of this device may be better suited for superficial defects as opposed to full-thickness defects. Larger defects will need more sutures and probably a double closure technique to provide a reinforcement layer.

show abstract

Endoscopic closure devices: A review of technique and application for hemostasis

Cited by 4 publications

References 61 publications

Initial multicenter experience using a novel endoscopic tack and suture system for challenging GI defect closure and stent fixation (with video)

Initial multicenter experience using a novel endoscopic tack and suture system for challenging GI defect closure and stent fixation (with video)

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

Efficacy, Feasibility, and Safety of the X-Tack Endoscopic HeliX Tacking System

Contact Info

Product

Resources

About