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Published in:

01-09-2020

Efficacy and feasibility of OverStitch suturing of leaks in the upper gastrointestinal tract

Authors: Seung-Hun Chon, Ulrich Toex, Patrick Sven Plum, Robert Kleinert, Christiane Josephine Bruns, Tobias Goeser, Felix Berlth

Published in: Surgical Endoscopy | Issue 9/2020

Abstract

Background

Management of upper gastrointestinal leaks is challenging. A new potential treatment option for this complication is endoscopic suturing with the OverStitch system (Apollo Endosurgery, Texas, USA), which is today mainly used for endoscopic sleeve gastroplasty. The aim of this study was to analyze the efficacy and feasibility of this new treatment option in patients with leaks in the upper gastrointestinal tract.

Methods

We performed a retrospective, single-center study of all patients who underwent endoscopic suturing with OverStitch of leaks in the upper gastrointestinal tract.

Results

Endoscopic suturing was performed on 13 patients (mean age, 59.62 ± 16.29 years; mean leak size, 22.31 ± 22.6 mm) over a period of 8 months. Postoperative leaks were detected in 10 patients (76.9%) after foregut surgery. Interventional success was achieved in all endoscopic attempts (n = 16, 100%) with a mean closure time of 28.0 ± 12.36 min per patient. Follow-up technical success rate for each suture was (n = 8, 50.0%). Clinical success, including repeated suture attempts was achieved in 8 of the 13 patients (61.5%). These 8 patients had not received prior treatment for the leak. No immediate or delayed serious complications occurred as a result of OverStitch. The mean follow-up was 95 ± 91.07 days.

Conclusions

Endoscopic suturing with OverStitch for leaks in the upper gastrointestinal tract is feasible and effective in patients who have not received prior treatment. This minimally invasive technique seems to be a promising option especially for patients with large leaks and significant comorbidities.

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Title: Efficacy and feasibility of OverStitch suturing of leaks in the upper gastrointestinal tract
Authors: Seung-Hun Chon
Ulrich Toex
Patrick Sven Plum
Robert Kleinert
Christiane Josephine Bruns
Tobias Goeser
Felix Berlth
Publication date: 01-09-2020
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 9/2020
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-019-07152-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Efficacy and feasibility of OverStitch suturing of leaks in the upper gastrointestinal tract

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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