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Bing-Rong Liu,

Bing-Rong Liu,

Harbin Medical University, China

Title: Endoscopic double-layer suture for the gastrointestinal wall defect after full-thickness resection

Biography

Biography: Bing-Rong Liu,

Abstract

Background and aims: Successful closure of gastrointestinal (GI) wall defects is the key procedure following endoscopic full-thickness resection (EFR). To describe a new endoscopic closure method for gastrointestinal wall defects after EFR procedure similar to hand-sewn double-layer suture technique-endoscopic double-layer suture (EDS) and evaluated the safety and efficacy of this method.

Methods: We retrospectively analyzed 15 patients who presented at our institute between April 2011 and September 2015 with GI tumors (13 of gastric subepithelial tumors, 2 of colonic lateral spreading tumors) and who underwent EFR, with the resulting full-thickness wall defects being closed using EDS technique. The seromuscular and mucosal layers of wall defects were sutured separately by using endoclips with or without endoloops assistance during EDS procedure. Tumors characteristics, en bloc resection rates, suturing procedures and complications were evaluated in all patients.

Results: Successful en bloc resection and closure of wall defects