Potential for expanded application of endoscopic hand suturing: A pilot study of 15 cases
Endoscopic hand suturing (EHS) was first developed to firmly close a mucosal defect following endoscopic submucosal dissection and has the potential for expanded applications. This study aimed to investigate the feasibility and safety of EHS in various clinical settings. In this single-center pilot...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2024-04-01
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| Series: | Endoscopy International Open |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2284-9492 |
| _version_ | 1797202185639952384 |
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| author | Kazutoshi Higuchi Osamu Goto Eriko Koizumi Shun Nakagome Tsugumi Habu Yumiko Ishikawa Kumiko Kirita Hiroto Noda Takeshi Onda Jun Omori Naohiko Akimoto Katsuhiko Iwakiri |
| author_facet | Kazutoshi Higuchi Osamu Goto Eriko Koizumi Shun Nakagome Tsugumi Habu Yumiko Ishikawa Kumiko Kirita Hiroto Noda Takeshi Onda Jun Omori Naohiko Akimoto Katsuhiko Iwakiri |
| author_sort | Kazutoshi Higuchi |
| collection | DOAJ |
| description | Endoscopic hand suturing (EHS) was first developed to firmly close a mucosal defect following endoscopic submucosal dissection and has the potential for expanded applications. This study aimed to investigate the feasibility and safety of EHS in various clinical settings. In this single-center pilot study, 15 patients who had diseases with potential indications for EHS were prospectively recruited. Technical success, clinical success after the procedure, and severe EHS-related adverse events (AEs) were evaluated. EHS was applied for defect closure after gastric subepithelial lesion removal under laparoscopic observation (n = 9), defect closure after rectal endoscopic full-thickness resection (EFTR) (n = 2), defect closure after thoracoscopy-assisted esophageal EFTR (n = 1), mucosal closure for gastric ulcer bleeding (n = 1), mucosal closure after peroral endoscopic myotomy (POEM) (n = 1), and postoperative anastomotic leak (n = 1). EHS was completed without severe AEs and the clinical courses were also favorable in 13 patients (87%). The median suturing time was 61 minutes. In patients with POEM and anastomotic leak, EHS was discontinued because of the narrow lumen. In conclusion, EHS appears feasible and safe in situations. |
| first_indexed | 2024-04-24T07:59:25Z |
| format | Article |
| id | doaj.art-8b6adda1a8ec4a38b612eae9c1c0f26a |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-04-24T07:59:25Z |
| publishDate | 2024-04-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-8b6adda1a8ec4a38b612eae9c1c0f26a2024-04-17T23:09:37ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362024-04-011204E507E51210.1055/a-2284-9492Potential for expanded application of endoscopic hand suturing: A pilot study of 15 casesKazutoshi Higuchi0https://orcid.org/0000-0003-4386-6288Osamu Goto1https://orcid.org/0000-0002-1039-6323Eriko Koizumi2Shun Nakagome3Tsugumi Habu4Yumiko Ishikawa5Kumiko Kirita6Hiroto Noda7Takeshi Onda8Jun Omori9Naohiko Akimoto10Katsuhiko Iwakiri11Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of MedicineDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanDepartment of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanEndoscopic hand suturing (EHS) was first developed to firmly close a mucosal defect following endoscopic submucosal dissection and has the potential for expanded applications. This study aimed to investigate the feasibility and safety of EHS in various clinical settings. In this single-center pilot study, 15 patients who had diseases with potential indications for EHS were prospectively recruited. Technical success, clinical success after the procedure, and severe EHS-related adverse events (AEs) were evaluated. EHS was applied for defect closure after gastric subepithelial lesion removal under laparoscopic observation (n = 9), defect closure after rectal endoscopic full-thickness resection (EFTR) (n = 2), defect closure after thoracoscopy-assisted esophageal EFTR (n = 1), mucosal closure for gastric ulcer bleeding (n = 1), mucosal closure after peroral endoscopic myotomy (POEM) (n = 1), and postoperative anastomotic leak (n = 1). EHS was completed without severe AEs and the clinical courses were also favorable in 13 patients (87%). The median suturing time was 61 minutes. In patients with POEM and anastomotic leak, EHS was discontinued because of the narrow lumen. In conclusion, EHS appears feasible and safe in situations.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2284-9492Endoscopy Upper GI TractEndoscopy Lower GI TractEndoscopic resection (polypectomy, ESD, EMRc, ...) |
| spellingShingle | Kazutoshi Higuchi Osamu Goto Eriko Koizumi Shun Nakagome Tsugumi Habu Yumiko Ishikawa Kumiko Kirita Hiroto Noda Takeshi Onda Jun Omori Naohiko Akimoto Katsuhiko Iwakiri Potential for expanded application of endoscopic hand suturing: A pilot study of 15 cases Endoscopy International Open Endoscopy Upper GI Tract Endoscopy Lower GI Tract Endoscopic resection (polypectomy, ESD, EMRc, ...) |
| title | Potential for expanded application of endoscopic hand suturing: A pilot study of 15 cases |
| title_full | Potential for expanded application of endoscopic hand suturing: A pilot study of 15 cases |
| title_fullStr | Potential for expanded application of endoscopic hand suturing: A pilot study of 15 cases |
| title_full_unstemmed | Potential for expanded application of endoscopic hand suturing: A pilot study of 15 cases |
| title_short | Potential for expanded application of endoscopic hand suturing: A pilot study of 15 cases |
| title_sort | potential for expanded application of endoscopic hand suturing a pilot study of 15 cases |
| topic | Endoscopy Upper GI Tract Endoscopy Lower GI Tract Endoscopic resection (polypectomy, ESD, EMRc, ...) |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2284-9492 |
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