Endoscopic closure after intraluminal surgery

Teppei Akimoto, Osamu Goto, Toshihiro Nishizawa, Naohisa Yahagi

研究成果: Review article査読

32 被引用数 (Scopus)

抄録

Endoscopic submucosal dissection is established as a curative endoscopic method for gastrointestinal epithelial neoplasms with a high possibility of complete en bloc resection; however, postoperative adverse events of bleeding and delayed perforation remain. To prevent or minimize them, several techniques for endoscopic mucosal closure have been introduced, such as using endoscopic clips, combined use of hemoclips and supplement devices, and specially designed endoscopic suturing devices. Furthermore, endoscopic full-thickness suturing technique for gastrointestinal wall defect has been developed based on the concept in natural orifice transluminal endoscopic surgery and endoscopic full-thickness resection. Several closure techniques, including over-the-scope clip, threaded bars inserted in a hollow needle, stitches or staplers, and a curved needle and thread are reported. Secure closure of the iatrogenic defect may further expand the range of therapeutic endoscopy. Accumulation of evidence for the efficacy of endoscopic closure and establishment of these techniques are desired.

本文言語English
ページ(範囲)547-558
ページ数12
ジャーナルDigestive Endoscopy
29
5
DOI
出版ステータスPublished - 2017 7月

ASJC Scopus subject areas

  • 放射線学、核医学およびイメージング
  • 消化器病学

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