Esophageal overtubes provide no benefit to safety or technical success in upper gastrointestinal tract endoscopic suturing
Background and study aim The role of esophageal overtubes in upper gastrointestinal endoscopic suturing is unknown. This study aimed to determine whether overtube use was associated with technical success or adverse events. Patients and methods A retrospective review of consecutive patien...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2019-07-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-0953-2152 |
| _version_ | 1818974322833752064 |
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| author | Andrew C. Storm Eric J. Vargas Reem Matar Louis M. Wong Kee Song Tarek Sawas Fateh Bazerbachi Navtej S. Buttar Mark D. Topazian Barham K. Abu Dayyeh |
| author_facet | Andrew C. Storm Eric J. Vargas Reem Matar Louis M. Wong Kee Song Tarek Sawas Fateh Bazerbachi Navtej S. Buttar Mark D. Topazian Barham K. Abu Dayyeh |
| author_sort | Andrew C. Storm |
| collection | DOAJ |
| description | Background and study aim The role of esophageal overtubes in upper gastrointestinal endoscopic suturing is unknown. This study aimed to determine whether overtube use was associated with technical success or adverse events.
Patients and methods A retrospective review of consecutive patients who underwent endoscopic suturing for various indications was performed.
Results A total of 719 patients underwent endoscopic suturing for various indications, including endoscopic bariatric procedures in 262, stent fixation in 258, defect closure in 190, and hemostasis in nine. An overtube was used in 186 procedures (25.9 %). Technical success was achieved in all cases. Minor mucosal trauma occurred in 15 cases (8.1 %) with use of an overtube, and none without an overtube (P < 0.0001). No full-thickness esophageal perforation or hemorrhage related to overtube use or the suturing device occurred.
Conclusions Endoscopic suturing can be performed safely for a variety of indications, including endoscopic bariatric procedures, defect repair, and stent fixation without an esophageal overtube. Minor esophageal mucosal trauma and equipment cost are increased when an overtube is used. |
| first_indexed | 2024-12-20T15:38:13Z |
| format | Article |
| id | doaj.art-d02a9f1fc1c54ccf8b015a6d856faf72 |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-20T15:38:13Z |
| publishDate | 2019-07-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-d02a9f1fc1c54ccf8b015a6d856faf722022-12-21T19:35:19ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362019-07-010707E919E92110.1055/a-0953-2152Esophageal overtubes provide no benefit to safety or technical success in upper gastrointestinal tract endoscopic suturingAndrew C. Storm0Eric J. Vargas1Reem Matar2Louis M. Wong Kee Song3Tarek Sawas4Fateh Bazerbachi5Navtej S. Buttar6Mark D. Topazian7Barham K. Abu Dayyeh8Division of Gastroenterology and Hepatology, Mayo Clinic School of Science and Medicine, Rochester, Minnesota, United StatesDivision of Gastroenterology and Hepatology, Mayo Clinic School of Science and Medicine, Rochester, Minnesota, United StatesDivision of Gastroenterology and Hepatology, Mayo Clinic School of Science and Medicine, Rochester, Minnesota, United StatesDivision of Gastroenterology and Hepatology, Mayo Clinic School of Science and Medicine, Rochester, Minnesota, United StatesDivision of Gastroenterology and Hepatology, Mayo Clinic School of Science and Medicine, Rochester, Minnesota, United StatesDivision of Gastroenterology and Hepatology, Mayo Clinic School of Science and Medicine, Rochester, Minnesota, United StatesDivision of Gastroenterology and Hepatology, Mayo Clinic School of Science and Medicine, Rochester, Minnesota, United StatesDivision of Gastroenterology and Hepatology, Mayo Clinic School of Science and Medicine, Rochester, Minnesota, United StatesDivision of Gastroenterology and Hepatology, Mayo Clinic School of Science and Medicine, Rochester, Minnesota, United StatesBackground and study aim The role of esophageal overtubes in upper gastrointestinal endoscopic suturing is unknown. This study aimed to determine whether overtube use was associated with technical success or adverse events. Patients and methods A retrospective review of consecutive patients who underwent endoscopic suturing for various indications was performed. Results A total of 719 patients underwent endoscopic suturing for various indications, including endoscopic bariatric procedures in 262, stent fixation in 258, defect closure in 190, and hemostasis in nine. An overtube was used in 186 procedures (25.9 %). Technical success was achieved in all cases. Minor mucosal trauma occurred in 15 cases (8.1 %) with use of an overtube, and none without an overtube (P < 0.0001). No full-thickness esophageal perforation or hemorrhage related to overtube use or the suturing device occurred. Conclusions Endoscopic suturing can be performed safely for a variety of indications, including endoscopic bariatric procedures, defect repair, and stent fixation without an esophageal overtube. Minor esophageal mucosal trauma and equipment cost are increased when an overtube is used.http://www.thieme-connect.de/DOI/DOI?10.1055/a-0953-2152 |
| spellingShingle | Andrew C. Storm Eric J. Vargas Reem Matar Louis M. Wong Kee Song Tarek Sawas Fateh Bazerbachi Navtej S. Buttar Mark D. Topazian Barham K. Abu Dayyeh Esophageal overtubes provide no benefit to safety or technical success in upper gastrointestinal tract endoscopic suturing Endoscopy International Open |
| title | Esophageal overtubes provide no benefit to safety or technical success in upper gastrointestinal tract endoscopic suturing |
| title_full | Esophageal overtubes provide no benefit to safety or technical success in upper gastrointestinal tract endoscopic suturing |
| title_fullStr | Esophageal overtubes provide no benefit to safety or technical success in upper gastrointestinal tract endoscopic suturing |
| title_full_unstemmed | Esophageal overtubes provide no benefit to safety or technical success in upper gastrointestinal tract endoscopic suturing |
| title_short | Esophageal overtubes provide no benefit to safety or technical success in upper gastrointestinal tract endoscopic suturing |
| title_sort | esophageal overtubes provide no benefit to safety or technical success in upper gastrointestinal tract endoscopic suturing |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-0953-2152 |
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