Ge Phillip S, Thompson Christopher C
Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1466, Houston, TX 77030-4009, USA.
Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Gastrointest Endosc Clin N Am. 2020 Jan;30(1):147-161. doi: 10.1016/j.giec.2019.08.010. Epub 2019 Oct 29.
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.
内镜缝合术可使部分患有穿孔、渗漏及瘘管的患者接受内镜治疗。使用Overstitch内镜缝合装置的经验表明，在穿孔治疗方面，它可能优于内镜夹，因为它能够实现全层缝合并形成气密闭合。尽管已报道使用Overstitch装置成功闭合了渗漏及瘘管，但由于瘘管复发存在固有挑战，通常还需要采用多模式方法进行额外治疗。本文综述了关于Overstitch内镜缝合系统的现有文献，特别是在胃肠道穿孔、渗漏及瘘管治疗方面的文献。
