Endoscopic closure devices

Subhas Banerjee; Bradley A. Barth; Yasser M. Bhat; David J. Desilets; Klaus T. Gottlieb; John T. Maple; Patrick R. Pfau; Douglas K. Pleskow; Uzma D. Siddiqui; Jeffrey L. Tokar; Amy Wang; Louis Michel Wong Kee Song; Sarah A. Rodriguez

doi:10.1016/j.gie.2012.02.028

Endoscopic closure devices

Subhas Banerjee, Bradley A. Barth, Yasser M. Bhat, David J. Desilets, Klaus T. Gottlieb, John T. Maple, Patrick R. Pfau, Douglas K. Pleskow, Uzma D. Siddiqui, Jeffrey L. Tokar, Amy Wang, Louis Michel Wong Kee Song, Sarah A. Rodriguez

Research output: Contribution to journal › Article › peer-review

87 Scopus citations

Abstract

Several new devices offer the prospect of robust and durable endoscopic closure of acute and chronic GI wall defects, including spontaneous and iatrogenic perforations, anastomotic leaks, and chronic fistulae. They may also allow satisfactory closure of enterotomies created for NOTES procedures. The OTSC and Overstitch systems are currently being marketed in the United States. Case series have demonstrated the effectiveness of the OTSC in the closure of acute defects. Its efficacy in chronic fistulae may be partially impaired by the difficulties in approximating indurated, fibrotic tissue for closure. The Overstitch device is more complex to use and is not suited for smaller lumens. However, it offers the potential advantages of being able to close larger or more chronic defects. Further prospective studies are needed to define the role of these devices in the closure of GI wall defects.

Original language	English (US)
Pages (from-to)	244-251
Number of pages	8
Journal	Gastrointestinal endoscopy
Volume	76
Issue number	2
DOIs	https://doi.org/10.1016/j.gie.2012.02.028
State	Published - Aug 2012

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Gastroenterology

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10.1016/j.gie.2012.02.028

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title = "Endoscopic closure devices",

abstract = "Several new devices offer the prospect of robust and durable endoscopic closure of acute and chronic GI wall defects, including spontaneous and iatrogenic perforations, anastomotic leaks, and chronic fistulae. They may also allow satisfactory closure of enterotomies created for NOTES procedures. The OTSC and Overstitch systems are currently being marketed in the United States. Case series have demonstrated the effectiveness of the OTSC in the closure of acute defects. Its efficacy in chronic fistulae may be partially impaired by the difficulties in approximating indurated, fibrotic tissue for closure. The Overstitch device is more complex to use and is not suited for smaller lumens. However, it offers the potential advantages of being able to close larger or more chronic defects. Further prospective studies are needed to define the role of these devices in the closure of GI wall defects.",

author = "Subhas Banerjee and Barth, {Bradley A.} and Bhat, {Yasser M.} and Desilets, {David J.} and Gottlieb, {Klaus T.} and Maple, {John T.} and Pfau, {Patrick R.} and Pleskow, {Douglas K.} and Siddiqui, {Uzma D.} and Tokar, {Jeffrey L.} and Amy Wang and {Wong Kee Song}, {Louis Michel} and Rodriguez, {Sarah A.}",

year = "2012",

month = aug,

doi = "10.1016/j.gie.2012.02.028",

language = "English (US)",

volume = "76",

pages = "244--251",

journal = "Gastrointestinal endoscopy",

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AU - Banerjee, Subhas

AU - Barth, Bradley A.

AU - Bhat, Yasser M.

AU - Desilets, David J.

AU - Gottlieb, Klaus T.

AU - Maple, John T.

AU - Pfau, Patrick R.

AU - Pleskow, Douglas K.

AU - Siddiqui, Uzma D.

AU - Tokar, Jeffrey L.

AU - Wang, Amy

AU - Wong Kee Song, Louis Michel

AU - Rodriguez, Sarah A.

PY - 2012/8

Y1 - 2012/8

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AB - Several new devices offer the prospect of robust and durable endoscopic closure of acute and chronic GI wall defects, including spontaneous and iatrogenic perforations, anastomotic leaks, and chronic fistulae. They may also allow satisfactory closure of enterotomies created for NOTES procedures. The OTSC and Overstitch systems are currently being marketed in the United States. Case series have demonstrated the effectiveness of the OTSC in the closure of acute defects. Its efficacy in chronic fistulae may be partially impaired by the difficulties in approximating indurated, fibrotic tissue for closure. The Overstitch device is more complex to use and is not suited for smaller lumens. However, it offers the potential advantages of being able to close larger or more chronic defects. Further prospective studies are needed to define the role of these devices in the closure of GI wall defects.

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JO - Gastrointestinal endoscopy

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Endoscopic closure devices

Abstract

ASJC Scopus subject areas

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