Yu Jessica X, Schulman Allison R
Division of Gastroenterology and Hepatology, University of Michigan, 1301 Catherine Street, Ann Arbor, MI 48109, USA.
Division of Gastroenterology and Hepatology, University of Michigan, 1301 Catherine Street, Ann Arbor, MI 48109, USA.
Gastrointest Endosc Clin N Am. 2020 Jan;30(1):187-195. doi: 10.1016/j.giec.2019.09.005. Epub 2019 Oct 18.
Endoscopic suturing with the OverStitch device is safe and effective for a wide range of applications from defect closure and stent fixation to hemostasis and bariatrics. OverStitch-related complications remain rare, although adverse events such as bleeding, mucosal injury, perigastric fluid collections, leaks, and perforations have been reported. Provider familiarity with the device and the specific pitfalls that may arise with OverStitch use in different situations is necessary to minimize the risk of adverse events. This article reviews potential complications and provides tips and troubleshooting techniques.
使用OverStitch装置进行内镜缝合对于从缺损闭合、支架固定到止血和减肥等广泛应用来说是安全有效的。尽管已报告有出血、黏膜损伤、胃周积液、渗漏和穿孔等不良事件，但与OverStitch相关的并发症仍然很少见。医疗人员熟悉该装置以及在不同情况下使用OverStitch可能出现的特定陷阱对于将不良事件风险降至最低是必要的。本文回顾了潜在并发症并提供了提示和故障排除技术。
