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Create a Free AccountProcedures - Closure of Perforation/Fistula
Novel dual-action tissue through-the-scope clip for endoscopic closure
Third space endoscopy, also known as submucosal endoscopy, has continued to evolve and expand as a minimally invasive alternative to surgery for the management of various GI diseases. Safe and effective endoscopic mucosal defect closure during many of these procedures is crucial. Conventional through-the-scope (TTS) clips are the most used devices for defect closure given the familiarity and ease of use.1 However, large mucosal defects can be difficult to close by using conventional TTS clips alone, given the inherent restrictions in clip opening width and inability to approximate large gaps firmly and securely.Follow-up outcomes of mucosal defect closures after endoscopic resection using a helix tacking system and endoclips
The X-Tack endoscopic HeliX tacking system (Apollo Endosurgery, Austin, Tex, USA) has recently been approved by the Food and Drug Administration and is slowly gaining popularity for the closure of large tissue defects. Despite its increasing use, outcome data of using the X-Tack system for mucosal defect closure after endoscopic resection (ER) are limited. Here, we report the follow-up outcomes of a series of cases that underwent ER and mucosal closure aided by the HeliX tacking system.Rescue of a delayed spontaneously migrated lumen-apposing metal stent placed to facilitate transluminal ERCP in a patient with acute recurrent pancreatitis and pancreas divisum with Roux-en-Y gastric bypass
ERCP is challenging in patients with Roux-en-Y gastric bypass (RYGB). EUS-directed transgastric ERCP by use of the lumen-apposing metal stent (LAMS) (Axios; Xlumena, Inc, Mountain View, Calif, USA) has been performed in the RYGB population with a high success rate.
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