The Use of the Overstitch to Close Perforations and Fistulas.

Authors :: Ge PS
Thompson CC
Source :: Gastrointestinal endoscopy clinics of North America [Gastrointest Endosc Clin N Am] 2020 Jan; Vol. 30 (1), pp. 147-161. Date of Electronic Publication: 2019 Oct 29.
Publication Year :: 2020
Abstract: Endoscopic suturing allows for select patients with perforations, leaks, and fistulas to be managed endoscopically. Experience with the Overstitch endoscopic suturing device suggests it may be superior to endoclips in the management of perforations, because of its ability to achieve full-thickness suturing and create an airtight closure. Although successful closure of leaks and fistulas using the Overstitch device has been described, additional therapy with a multimodality approach is often required because of inherent challenges with fistula recurrence. This article reviews the existing literature on the Overstitch endoscopic suturing system specifically in the management of gastrointestinal perforations, leaks, and fistulas.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)