The use of OverStitchTM for the treatment of intestinal perforation, fistulas and leaks

Thiruvengadam Muniraj, Harry R, Aslanian
2017 Gastrointestinal Intervention  
Gastrointestinal perforations, leaks and fistulas may complicate endoscopic and surgical procedures. Surgical repair is associated with significant morbidity. Therapeutic endoscopic tools and techniques have included the application of tissue sealants, clip closure, and stent placement. Endoscopic suturing is a rapidly evolving minimally invasive technique. The OverStitch TM (Apollo Endosurgery, USA) is currently the only available endoscopic suturing system. Although technically more difficult
more » ... ally more difficult than clip closure, endoscopic suturing allows closure of larger defects. In some settings, outcomes similar to surgical management with less morbidity may be achieved. This review describes the OverStitch TM endoscopic suturing system and the published literature regarding its use for perforations, leaks and fistulas.
doi:10.18528/gii170002 fatcat:zzvljpr7xzfnrg6q2d4hixzine