The Use of the Overstitch to Close Perforations and Fistulas - 16/11/19
Résumé |
Endoscopic suturing allows for select patients with perforations, leaks, and fistulas to be managed endoscopically. Experience with the Overstitch endoscopic suturing device suggests it may be superior to endoclips in the management of perforations, because of its ability to achieve full-thickness suturing and create an airtight closure. Although successful closure of leaks and fistulas using the Overstitch device has been described, additional therapy with a multimodality approach is often required because of inherent challenges with fistula recurrence. This article reviews the existing literature on the Overstitch endoscopic suturing system specifically in the management of gastrointestinal perforations, leaks, and fistulas.
Le texte complet de cet article est disponible en PDF.Keywords : Endoscopic suturing, Fistula, Leak, Overstitch, Perforation
Plan
Disclosures Statement: P.S. Ge has no conflicts of interest or financial ties to disclose. C.C. Thompson reports fees as a consultant from Boston Scientific and Medtronic; fees as a consultant and institutional grants from USGI Medical, Olympus America, and Apollo Endosurgery; and has a patent issued for Endoscopic Fistula Repair, held by Brigham and Women’s Hospital. |
Vol 30 - N° 1
P. 147-161 - janvier 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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