Endoscopic creation of an omental patch with an over-the-scope clip system after endoscopic excavation and resection of a large gastrointestinal stromal tumor of the stomach

Mönkemüller, Klaus; Sarker, Shabnam; Baig, Kondal R. Kyanam Kabir

doi:10.1055/s-0034-1377495

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…Standard through-the-scope (TTS) endoscopic clips marketed for hemostasis have been used both for closure of mucosal defects associated with tunnel endoscopy and for closure of smaller full-thickness defects after nontunneled exposed EFTR. As previously mentioned, clips may be combined with a detachable nylon loop or an omental patch for closure of larger defects 20, 21…”

Section: Emerging Technology Under Reviewmentioning

confidence: 99%

ASGE guideline for endoscopic full-thickness resection and submucosal tunnel endoscopic resection

et al. 2019

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With the development of reliable endoscopic closure techniques and tools, endoscopic full-thickness resection (EFTR) is emerging as a therapeutic option for the treatment of subepithelial tumors and epithelial neoplasia with significant fibrosis. EFTR may be categorized as “exposed” and “nonexposed.” In exposed EFTR, the full-thickness resection is undertaken with a tunneled or nontunneled technique, with subsequent closure of the defect. In nonexposed EFTR, a secure serosa-to-serosa apposition is achieved before full-thickness resection of the isolated lesion. This document reviews current techniques and devices used for EFTR and reviews clinical applications and outcomes.

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Section: Emerging Technology Under Reviewmentioning

confidence: 99%

ASGE guideline for endoscopic full-thickness resection and submucosal tunnel endoscopic resection

et al. 2019

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“…Moreover, the OTSC (Ovesco Endoscopy GmbH, Tüebingen, Germany), a clip-shaped full-thickness suturing device, is also commercially available. A number of reports have mentioned about fistulas or closure of iatrogenic perforations and closure of anastomotic leakage after surgery [44,45,46]. This information suggested that there is no available ideal suturing device.…”

Section: Development Of Suturing Systems For Flexible Endoscopementioning

confidence: 99%

Current Status of Exposed Endoscopic Full-Thickness Resection and Further Development of Non-Exposed Endoscopic Full-Thickness Resection

Mori¹,

Rahman

Kobara³

et al. 2017

Digestion

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Endoscopic full-thickness resection (EFTR) is a procedure that makes it possible to access the lesions that are on the wall of the digestive tract via the shortest distance through the mouth. Because of the ultra-minimal invasive nature of the treatment, pure EFTR is a highly promising surgical procedure that allows the radical excision of full-thickness layers of digestive tract tumors using only a flexible endoscope. There are 2 types of EFTR methods: exposed and non-exposed. Considering the risks of contracting infection and intraperitoneal dissemination of tumor cells, non-exposed EFTR is an ideal method. However, a number of issues remain unresolved, including the method for performing a full-thickness suture under endoscopic view and the challenge of securing the operating field in the case of gastrointestinal tract collapse. Moreover, advances in the development of equipment such as full-thickness suturing devices would be helpful to make this therapeutic procedure the most minimally invasive endoscopic surgery ever.

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“…Persistent iatrogenic gastrocutaneous fistulas are an uncommon, albeit well-recognized complication of PEG placement and removal [1]. In recent years, a "bear-claw" type, over-the-scope-clip system (OTSC; Ovesco AG, Tübingen, Germany) has been shown to be safe and effective for linear closure of a variety of fistulae and perforations [2,3]. The newly developed Padlock Clip, although based on a very similar principle to that of the OTSC, uses a circumferential 6-pronged design for radial compression of tissue to effectively and safely close a defect in a similar fashion to a purse-string suturing technique [4].…”

mentioning

confidence: 99%

Successful endoscopic closure of a gastrocutaneous fistula using a ‘Padlock Clip’

et al. 2016

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Endoscopic creation of an omental patch with an over-the-scope clip system after endoscopic excavation and resection of a large gastrointestinal stromal tumor of the stomach

Cited by 7 publications

References 3 publications

ASGE guideline for endoscopic full-thickness resection and submucosal tunnel endoscopic resection

ASGE guideline for endoscopic full-thickness resection and submucosal tunnel endoscopic resection

Current Status of Exposed Endoscopic Full-Thickness Resection and Further Development of Non-Exposed Endoscopic Full-Thickness Resection

Successful endoscopic closure of a gastrocutaneous fistula using a ‘Padlock Clip’

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