Therapeutic application of purse-string sutures with nylon loops and metal clips under single-channel endoscopy for repair of gastrointestinal wall defects

Qiao,Zhenguo; Ling,Xin; Zhu,Jianhong; Ying,Guojian; Xu,Lihua; Zhu,Hong; Tang,Jinhai

doi:10.3892/etm.2018.5956

May-2018 Volume 15 Issue 5

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May-2018 Volume 15 Issue 5

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Article Open Access

Therapeutic application of purse-string sutures with nylon loops and metal clips under single-channel endoscopy for repair of gastrointestinal wall defects

Authors:
- Zhenguo Qiao
- Xin Ling
- Jianhong Zhu
- Guojian Ying
- Lihua Xu
- Hong Zhu
- Jinhai Tang
View Affiliations / Copyright

Affiliations: Department of Gastroenterology, The First People's Hospital of Wujiang District, Suzhou, Jiangsu 215200, P.R. China, Department of Gastroenterology, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215004, P.R. China

Copyright: © Qiao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 4356-4360
|
Published online on: March 13, 2018

https://doi.org/10.3892/etm.2018.5956
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Abstract

The present study was performed to evaluate the therapeutic safety and feasibility of purse-string sutures with nylon loops and metal clips under single‑channel endoscopy to repair gastrointestinal wall defects that had previously developed during endoscopic full‑thickness resection (EFR). A multicenter prospective cohort study of 42 patients who had developed defects of the gastrointestinal wall during EFR was conducted from April 2012 to October 2016. All lesions were endoscopically repaired with either a single‑channel gastroscope (research group, n=18) or double‑channel gastroscope (control group, n=24). The patients' clinical features, purse‑string suturing times and complication rates were analyzed. There was no significant difference in the perforation rate between the research and control groups. There were also no significant differences in the purse‑string suturing time (research vs. control group, 10.5 vs. 14.6 min, respectively; P=0.214), specimen size or complication rate (subcutaneous emphysema) between the two groups. No recurrences were observed during the follow‑up period. The current data suggest that application of purse‑string sutures with nylon loops and metal clips for repair of EFR‑induced gastrointestinal wall defects may be safely and feasibly applied under single‑channel gastroscopy as well as under double‑channel gastroscopy.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Therapeutic application of purse-string sutures with nylon loops and metal clips under single-channel endoscopy for repair of gastrointestinal wall defects

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