WEO Newsletter: Strategies for effective endoscopic closure of gastrointestinal defects.

This article provides a guide on strategies for effective endoscopic closure of gastrointestinal defects. It emphasizes the importance of understanding the type of defect being treated, such as full-thickness defects or non-full-thickness defects, as this determines the approach and techniques used for closure. The article also discusses the significance of defect location, size, and tissue quality in determining the appropriate tools and devices for closure. It highlights the importance of preprocedural preparation, drainage of fluid collections, reducing downstream obstructions, stent fixation to prevent migration, optimizing fistula closure, and monitoring post-procedure. The article concludes by suggesting the consideration of innovative techniques for complex refractory defects. [Extracted from the article]