Department of Medicine, University of British Columbia, Vancouver V6Z2K5, BC, Canada.
World J Gastroenterol. 2024 Jul 7;30(25):3152-3154. doi: 10.3748/wjg.v30.i25.3152.
Iatrogenic perforation is the most feared adverse event in endoscopy. With the expansion of interventional endoscopy in favor of traditional surgery, it is now more crucial than ever to develop effective defect closure techniques. This has culminated in the dissemination of multiple novel closure technologies, including through-the-scope clips, over-the-scope clips, through-the-scope suturing and over-the-scope suturing devices. In this editorial, we comment on the recent publication by Wang and colleagues discussing the performance of the double-nylon purse-string suture technique in the closure of large (> 3 cm) gastric full-thickness defects. This technique offers a promising, practical and cost-effective approach to closure of large full-thickness defects that can be readily implemented across diverse healthcare settings.
医源性穿孔是内镜检查中最令人恐惧的不良事件。随着介入内镜治疗在传统手术中的应用不断扩大，开发有效的缺陷闭合技术比以往任何时候都更加重要。这最终导致了多种新型闭合技术的传播，包括经内镜夹、内镜下夹、经内镜缝合和内镜下缝合装置。在这篇社论中，我们对 Wang 及其同事最近发表的一篇讨论双尼龙荷包缝合技术在闭合大（>3cm）胃全层缺损中的性能的文章进行了评论。该技术为闭合大的全层缺损提供了一种有前途、实用且具有成本效益的方法，可以在各种医疗保健环境中轻松实施。
