Endoscopic purse-string suture for the gastric wall defect after full-thickness resection
10.3760/cma.j.issn.1671-0274.2015.02.013
- VernacularTitle:内镜下荷包缝合术用于胃壁切除术穿孔后创面的闭合
- Author:
Yin ZHANG
1
,
2
;
Zhining FAN
;
Jie WU
;
Xiaodan HUANG
;
Lin MIAO
;
Xiang WANG
Author Information
1. 210029南京，江苏省人民医院消化内镜中心
2. 江苏省常州市第一人民医院消化内科
- Keywords:
Stomach neoplasms;
Endoscopic submucosal dissection;
Endoscopic full-thickness resection;
Endoscopic purse-string suture;
Metallic clip;
Endoloop
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(2):150-154
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of endoscopic purse-string suture (EPSS) with metallic clips and endoloop for the gastric wall defect after postoperative perforation. Methods Clinical data of 25 patients with gastric tumors(1 of gastric adenocarcinoma, 24 of gastric gastrointestinal stromal tumor, GIST) undergoing EPSS in Jiangsu Province People′s Hospital and The Second Affiliated Hospital of Nanjing Medical University from January 2013 to May 2014 were retrospectively analyzed. During the procedure, EPSS was performed in 8 cases with perforation after endoscopic submucosal dissection (ESD), and in 17 cases with active perforation after endoscopic full-thickness resection. Results Twenty-five patients underwent EPSS successfully. The procedure time was 35.0-75.0 (49.8± 10.1) min. No severe operational and postoperative complications occurred. Tumor resection margin were all negative. Time to withdraw gastrointestinal decompression drainage tube was 1-3 (1.3 ±0.8) d. Postoperative hospital stay was 2-10(4.8±2.1) d and total cost was 10-31(19±0.5) thousand Yuan. One month after the procedure, all the patients received follow-up with no complaint of discomfort, and endoscopy confirmed that all the lesions healed. Conclusion EPSS with metallic clips and endoloop is effective and safe to close the gastric wall defect after full-thickness resection.
