Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
This article is a systematic review of relevant literature on endoscopic suturing as a primary closure technique for large submucosaland full-thickness defects after endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic fullthicknessresection (EFTR). A comprehensive literature search was conducted through 2016 by using PubMed, to find peer-reviewedoriginal articles. The specific factors considered were the procedural indications and details, success rates, clinical outcomes includingcomplications, and study limitations. Six original articles were included in the final review: two with non-human subjects and fourwith human subjects. The mean success rate of endoscopic suturing was 97.4% (100% for human subjects and 95.4% for non-humansubjects). The procedural time ranged from 7 to 89 min. The average size and depth of lesions were 2.71 cm (3.74 cm [human] and1.96 cm [non-human]) and 1.52 cm, respectively. The technique itself had no reported impact on mortality. In conclusion, endoscopicsuturing is a minimally invasive technique for the primary closure of defects caused by EMR, ESD, and EFTR, with a high success andlow complication rate.
Abstract
This article is a systematic review of relevant literature on endoscopic suturing as a primary closure technique for large submucosaland full-thickness defects after endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic fullthicknessresection (EFTR). A comprehensive literature search was conducted through 2016 by using PubMed, to find peer-reviewedoriginal articles. The specific factors considered were the procedural indications and details, success rates, clinical outcomes includingcomplications, and study limitations. Six original articles were included in the final review: two with non-human subjects and fourwith human subjects. The mean success rate of endoscopic suturing was 97.4% (100% for human subjects and 95.4% for non-humansubjects). The procedural time ranged from 7 to 89 min. The average size and depth of lesions were 2.71 cm (3.74 cm [human] and1.96 cm [non-human]) and 1.52 cm, respectively. The technique itself had no reported impact on mortality. In conclusion, endoscopicsuturing is a minimally invasive technique for the primary closure of defects caused by EMR, ESD, and EFTR, with a high success andlow complication rate.
참고문헌 (25)
- Soetikno RM, "Endoscopic mucosal resection", Gastrointest Endosc, 57, pp.567~579 (2003)[DOI]
- Ono H, "Endoscopic mucosal resection for treatment of early gastric cancer", Gut, 48, pp.225~229 (2001)[DOI]
- Larghi A, "State of the art on endoscopic mucosal resection and endoscopic submucosal dissection", Gastrointest Endosc Clin N Am, 17, pp.441~469 (2007)[DOI]
- ASGE Technology Committee, "Endoscopic mucosal resection and endoscopic submucosal dissection", Gastrointest Endosc, 68, pp.11~18 (2008)[DOI]
- Ikeda K, "Endoscopic full-thickness resection with sutured closure in a porcine model", Gastrointest Endosc, 62, pp.122~129 (2005)[DOI]
- Oka S, "Advantage of endoscopic submucosal dissection compared with EMR for early gastric cancer", Gastrointest Endosc, 64, pp.877~883 (2006)[DOI]
- Messmann H, "Management of endoscopic submucosal dissection complications", Endoscopy, 41, pp.712~714 (2009)[DOI]
- Cao Y, "Meta-analysis of endoscopic submucosal dissection versus endoscopic mucosal resection for tumors of the gastrointestinal tract", Endoscopy, 41, pp.751~757 (2009)[DOI]
- Odagiri H, "Complications following endoscopic submucosal dissection for gastric, esophageal, and colorectal cancer: a review of studies based on nationwide large-scale databases", Ann Transl Med, 5, pp.189~ (2017)[DOI]
- Raju GS, "Endoclips for GI endoscopy", Gastrointest Endosc, 59, pp.267~279 (2004)[DOI]
- Otake Y, "New closure technique for large mucosal defects after endoscopic submucosal dissection of colorectal tumors (with video)", Gastrointest Endosc, 75, pp.663~667 (2012)[DOI]
- Singhal S, "Over the scope clip: technique and expanding clinical applications", J Clin Gastroenterol, 47, pp.749~756 (2013)[DOI]
- Kantsevoy SV, "Successful closure of a chronic refractory gastrocutaneous fistula with a new endoscopic suturing device (with video)", Gastrointest Endosc, 75, pp.688~690 (2012)[DOI]
- Kantsevoy SV, "Esophageal stent fixation with endoscopic suturing device (with video)", Gastrointest Endosc, 76, pp.1251~1255 (2012)[DOI]
- Bonin EA, "Closure of a persistent esophagopleural fistula assisted by a novel endoscopic suturing system", Endoscopy, 44(Suppl 2 UCTN), pp.E8~E9 (2012)[DOI]
- Rajan E, "Endoscopic full-thickness biopsy of the gastric wall with defect closure by using an endoscopic suturing device: survival porcine study", Gastrointest Endosc, 76, pp.1014~1019 (2012)[DOI]
- Armengol JR, "Full-thickness purely endoscopic resection of colon cancer", Gastrointest Endosc, 75(4 Suppl), pp.AB114~AB115 (2012)
- Kantsevoy SV, "Endoscopic suturing closure of large mucosal defects after endoscopic submucosal dissection is technically feasible, fast, and eliminates the need for hospitalization (with videos)", Gastrointest Endosc, 79, pp.503~507 (2014)[DOI]
- Jirapinyo P, "Use of a novel endoscopic suturing device to treat recalcitrant marginal ulceration (with video)", Gastrointest Endosc, 76, pp.435~439 (2012)[DOI]
- Rieder E, "Endoscopic suture fixation of gastrointestinal stents: proof of biomechanical principles and early clinical experience", Endoscopy, 44, pp.1121~1126 (2012)[DOI]
- Changela K, "Peroral endoscopic reduction of dilated gastrojejunal anastomosis after bariatric surgery: techniques and efficacy", World J Gastrointest Endosc, 8, pp.239~243 (2016)[DOI]
- Kobayashi M, "Closure of iatrogenic large mucosal and full-thickness defects of the stomach with endoscopic interrupted sutures in in vivo porcine models: are they durable enough?", BMC Gastroenterol, 15, pp.5~ (2015)[DOI]
- von Renteln D, "Gastric full-thickness suturing during EMR and for treatment of gastric-wall defects (with video)", Gastrointest Endosc, 67, pp.738~744 (2008)[DOI]
- Azzolini F, "Endoscopic full-thickness resection for suspected residual rectal neuroendocrine tumor and closure of the defect with a new suturing system", Endoscopy, 47(Suppl 1), pp.E556~E557 (2015)[DOI]
- Kantsevoy SV, "Endoscopic management of colonic perforations: clips versus suturing closure (with videos)", Gastrointest Endosc, 84, pp.487~493 (2016)[DOI]