Techniques for endoscopic suturing

Olaya I. Brewer Gutierrez, Stuart K. Amateau

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Surgeons and gastroenterologists have long desired tools to perform minimally invasive extraluminal endoscopic interventions. A critical instrument for such procedures would be a closure device to manage iatrogenic defects, prompting the development of ever-evolving endoscopic suturing devices. The current iteration of a commercially available suturing system provides several critical technological leaps forward, including full thickness bites, the flexibility to deploy running or interrupted sutures, and the capability of reloading sutures without the removal of the device from the patient. Recognized applications of endoscopic suturing within the foregut and hindgut include tissue apposition to manage perforation, defect closure, fistula, anastomotic leaks, and bleeding as well as stent fixation, as well as bariatric interventions such as post Roux-en-Y gastric bypass outlet reduction and endoscopic sleeve gastroplasty. While these topics are discussed in detail elsewhere, the present chapter is intended to discuss proper, optimized basic endoscopic suturing technique, suture patterns, as well as the necessary equipment and assembly.

Original languageEnglish (US)
Title of host publicationGastrointestinal Interventional Endoscopy
Subtitle of host publicationAdvanced Techniques
PublisherSpringer International Publishing
Pages347-362
Number of pages16
ISBN (Electronic)9783030216955
ISBN (Print)9783030216948
DOIs
StatePublished - Jan 1 2019

Bibliographical note

Publisher Copyright:
© Springer Nature Switzerland AG 2020.

Keywords

  • Endoscopic suturing
  • Suture complications
  • Suture technique

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