Stavropoulos SN, Modayil R, Friedel D. Current applications of endoscopic suturing. World J Gastrointest Endosc 2015; 7(8): 777-789 [PMID: 26191342 DOI: 10.4253/wjge.v7.i8.777]
Corresponding Author of This Article
Stavros N Stavropoulos, MD, Director, Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, 222 Station Plaza North Suite 429 Mineola, Mineola, NY 11501, United States. sstavropoulos@winthrop.org
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Jul 10, 2015; 7(8): 777-789 Published online Jul 10, 2015. doi: 10.4253/wjge.v7.i8.777
Current applications of endoscopic suturing
Stavros N Stavropoulos, Rani Modayil, David Friedel
Stavros N Stavropoulos, Rani Modayil, David Friedel, Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, Mineola, NY 11501, United States
Author contributions: Stavropoulos SN contributed to informational source and manuscript preparation; Modayil R made the preparation and editor of illustrations; Friedel D made the preparation.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Stavros N Stavropoulos, MD, Director, Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, 222 Station Plaza North Suite 429 Mineola, Mineola, NY 11501, United States. sstavropoulos@winthrop.org
Telephone: +1-516-6634623 Fax: +1-516-6634617
Received: September 4, 2014 Peer-review started: September 4, 2014 First decision: January 20, 2015 Revised: February 13, 2015 Accepted: April 27, 2015 Article in press: April 29, 2015 Published online: July 10, 2015
Abstract
Endoscopic suturing had previously been considered an experimental procedure only performed in a few centers and often by surgeons. Now, however, endoscopic suturing has evolved sufficiently to be easily implemented during procedures and is more commonly used by gastroenterologists. We have employed the Apollo OverStitch suturing device in a variety of ways including closure of perforations, closure of full thickness defects in the gastrointestinal wall created during endoscopic full thickness resection, closure of mucosotomies during peroral endoscopic myotomy, stent fixation, fistula closure, post endoscopic submucosal dissection, endoscopic mucosal resection and Natural Orifice Transluminal Endoscopic Surgery defect closures, post-bariatric surgery gastrojejunal anastomosis revision and primary sleeve gastroplasty.
Core tip: The recent development of an endoscopic suturing platform, the only such device that is currently available in the United States, has led to a rapid expansion of endoscopic suturing applications ranging from simple procedures such as stent fixation to more complex ones such as closure of large full thickness defects and primary and revisional bariatric endoscopic surgery.
