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CC BY-NC-ND 4.0 · Endosc Int Open 2024; 12(04): E507-E512
DOI: 10.1055/a-2284-9492
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Potential for expanded application of endoscopic hand suturing: A pilot study of 15 cases

Kazutoshi Higuchi 
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Osamu Goto 
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
2   Endoscopy Center, Nippon Medical School Hospital, Tokyo, Japan (Ringgold ID: RIN88394)
,
Eriko Koizumi
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Shun Nakagome
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Tsugumi Habu
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Yumiko Ishikawa
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Kumiko Kirita
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Hiroto Noda
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Takeshi Onda
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Jun Omori
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Naohiko Akimoto
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
,
Katsuhiko Iwakiri
1   Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan (Ringgold ID: RIN26367)
› Author Affiliations Clinical Trial: Registration number (trial ID): UMIN000042703, Trial registry: UMIN Japan (http://www.umin.ac.jp/english/), Type of Study: A prospective, single-arm, single-center, pilot study
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Correction: Potential for expanded application of endoscopic hand suturing: A pilot study of 15 casesEndosc Int Open 2024; 12(04): C5-C5
DOI: 10.1055/a-2302-6845

Abstract

Endoscopic hand suturing (EHS) was first developed to firmly close a mucosal defect following endoscopic submucosal dissection and has the potential for expanded applications. This study aimed to investigate the feasibility and safety of EHS in various clinical settings. In this single-center pilot study, 15 patients who had diseases with potential indications for EHS were prospectively recruited. Technical success, clinical success after the procedure, and severe EHS-related adverse events (AEs) were evaluated. EHS was applied for defect closure after gastric subepithelial lesion removal under laparoscopic observation (n = 9), defect closure after rectal endoscopic full-thickness resection (EFTR) (n = 2), defect closure after thoracoscopy-assisted esophageal EFTR (n = 1), mucosal closure for gastric ulcer bleeding (n = 1), mucosal closure after peroral endoscopic myotomy (POEM) (n = 1), and postoperative anastomotic leak (n = 1). EHS was completed without severe AEs and the clinical courses were also favorable in 13 patients (87%). The median suturing time was 61 minutes. In patients with POEM and anastomotic leak, EHS was discontinued because of the narrow lumen. In conclusion, EHS appears feasible and safe in situations.

Keywords

Endoscopy Upper GI Tract - Endoscopy Lower GI Tract - Endoscopic resection (polypectomy, ESD, EMRc, ...)


Publication History

Received: 22 September 2023

Accepted after revision: 07 March 2024

Accepted Manuscript online:
11 March 2024

Article published online:
05 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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