Advertisement

Through-the-scope suturing is feasible and safe to perform with duodenoscopes

Published:August 28, 2022DOI:https://doi.org/10.1016/j.gie.2022.08.026
      A 70-year-old woman with a laterally spreading periampullary tubulovillous adenoma underwent piecemeal EMR by use of a duodenoscope. Post-EMR closure of the defect was accomplished with the X-Tack suturing device (Apollo Endosurgery, Austin, Tex, USA) through the same endoscope. HeliX tacks easily passed through the duodenoscope channel and were anchored onto the targeted tissue without any difficulty. Tack placements were positioned precisely by controlling the elevator, adding an extra element of stability and accuracy. Tissue approximation was carried out successfully with 2 interrupted sutures.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Gastrointestinal Endoscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect