Juzgado Diego, Sanchez-Yague Andres
Gastroenterology Department, Hospital Quironsalud Madrid, Madrid, Spain.
Gastroenterology Department, Vithas Xanit International Hospital, Benalmadena, Spain; Interventinal Endoscopy, Gastroenterology Department, Hospital Costa del Sol, Autovia A-7, Km 187, Marbella 29603, Spain.
Gastrointest Endosc Clin N Am. 2020 Jan;30(1):173-185. doi: 10.1016/j.giec.2019.08.009. Epub 2019 Oct 18.
The overstitch endoscopic suturing system has opened a novel arena in endoscopy. To properly apply endoscopic suturing techniques, it is important to understand suture patterns and the different traction methods available. Applications beyond tissue compression in bariatric endoscopy include: closure, traction and fixation. Closure could be applied to perforations, suture dehiscences, fistulas and stoma reduction. Traction could be applied either as a pulley method to improver resection or as an improved method to decrease a defect size and help pull it into an over the scope clip. Fixation has been mainly used to secure stents.
连续缝合内镜缝合系统开启了内镜领域的新篇章。要正确应用内镜缝合技术，了解缝合模式和可用的不同牵引方法很重要。除了在减重内镜中用于组织压迫外，其应用还包括：闭合、牵引和固定。闭合可应用于穿孔、缝线裂开、瘘管和造口缩小。牵引既可以作为一种滑轮方法来改善切除效果，也可以作为一种改进方法来减小缺损大小并帮助将其拉入内镜夹。固定主要用于固定支架。
