Comparing the safety and efficacy of over-the-scope suturing, through-the-scope suturing, and endoscopic hand suturing for closure of GI defects after endoscopic resection: systematic review and meta-analysis
Data comparing the efficacy and safety of OverStitch (Apollo Endosurgery, Marlborough, Mass, USA), X-Tack (Apollo Endosurgery), and endoscopic hand suturing (EHS) for closure of GI defects after endoscopic resection are limited. We conducted a meta-analysis of the available data. Online databases we...
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| Veröffentlicht in: | Gastrointestinal endoscopy Jg. 102; H. 3; S. 326 - 336.e5 |
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01.09.2025
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| ISSN: | 0016-5107, 1097-6779 |
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| Abstract | Data comparing the efficacy and safety of OverStitch (Apollo Endosurgery, Marlborough, Mass, USA), X-Tack (Apollo Endosurgery), and endoscopic hand suturing (EHS) for closure of GI defects after endoscopic resection are limited. We conducted a meta-analysis of the available data.
Online databases were searched for studies evaluating different closure systems for GI defects. The outcomes of interest were technical success, clinical success, and adverse events. Pooled proportions were calculated.
Fifteen studies (4 for EHS, 6 for OverStitch, 4 for X-Tack, and 1 for both OverStitch and X-Tack) were included. The pooled outcomes for EHS were 98% technical success, 96% clinical success, 2% adverse events, 3% bleeding, and 1% perforation; for OverStitch were 93% technical success, 93% clinical success, 6% adverse events, 3% bleeding, and 3% perforation; and for X-Tack were 95% technical success, 94% clinical success, 3% adverse events, 2% bleeding, and 1% perforation.
All 3 closure methods showed comparable high technical and clinical success rates. EHS and X-Tack had lower adverse event rates than OverStitch. Future direct comparison studies are needed to corroborate our findings.
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| AbstractList | Data comparing the efficacy and safety of OverStitch (Apollo Endosurgery, Marlborough, Mass, USA), X-Tack (Apollo Endosurgery), and endoscopic hand suturing (EHS) for closure of GI defects after endoscopic resection are limited. We conducted a meta-analysis of the available data.
Online databases were searched for studies evaluating different closure systems for GI defects. The outcomes of interest were technical success, clinical success, and adverse events. Pooled proportions were calculated.
Fifteen studies (4 for EHS, 6 for OverStitch, 4 for X-Tack, and 1 for both OverStitch and X-Tack) were included. The pooled outcomes for EHS were 98% technical success, 96% clinical success, 2% adverse events, 3% bleeding, and 1% perforation; for OverStitch were 93% technical success, 93% clinical success, 6% adverse events, 3% bleeding, and 3% perforation; and for X-Tack were 95% technical success, 94% clinical success, 3% adverse events, 2% bleeding, and 1% perforation.
All 3 closure methods showed comparable high technical and clinical success rates. EHS and X-Tack had lower adverse event rates than OverStitch. Future direct comparison studies are needed to corroborate our findings.
[Display omitted] Data comparing the efficacy and safety of OverStitch (Apollo Endosurgery, Marlborough, Mass, USA), X-Tack (Apollo Endosurgery), and endoscopic hand suturing (EHS) for closure of GI defects after endoscopic resection are limited. We conducted a meta-analysis of the available data. Online databases were searched for studies evaluating different closure systems for GI defects. The outcomes of interest were technical success, clinical success, and adverse events. Pooled proportions were calculated. Fifteen studies (4 for EHS, 6 for OverStitch, 4 for X-Tack, and 1 for both OverStitch and X-Tack) were included. The pooled outcomes for EHS were 98% technical success, 96% clinical success, 2% adverse events, 3% bleeding, and 1% perforation; for OverStitch were 93% technical success, 93% clinical success, 6% adverse events, 3% bleeding, and 3% perforation; and for X-Tack were 95% technical success, 94% clinical success, 3% adverse events, 2% bleeding, and 1% perforation. All 3 closure methods showed comparable high technical and clinical success rates. EHS and X-Tack had lower adverse event rates than OverStitch. Future direct comparison studies are needed to corroborate our findings. |
| Author | Akbar Khan, Hafiz Muzaffar Aswath, Ganesh Singh, Sahib Loganathan, Priyadarshini Adler, Douglas G. Suresh Kumar, Vishnu Charan Andrawes, Sherif Sapkota, Bishnu Mohan, Babu P. Inamdar, Sumant |
| Author_xml | – sequence: 1 givenname: Vishnu Charan surname: Suresh Kumar fullname: Suresh Kumar, Vishnu Charan organization: Division of Gastroenterology and Hepatology, Northwell/Staten Island University Hospital, Staten Island, New York, USA – sequence: 2 givenname: Sahib surname: Singh fullname: Singh, Sahib organization: Department of Internal Medicine, Sinai Hospital, Baltimore, Maryland, USA – sequence: 3 givenname: Priyadarshini surname: Loganathan fullname: Loganathan, Priyadarshini organization: Division of Gastroenterology, UT Health, San Antonio, Texas, USA – sequence: 4 givenname: Babu P. surname: Mohan fullname: Mohan, Babu P. organization: Gastroenterology and Hepatology, Orlando Gastroenterology PA, Orlando, Florida, USA – sequence: 5 givenname: Ganesh surname: Aswath fullname: Aswath, Ganesh organization: Division of Gastroenterology, SUNY Upstate Medical University, Syracuse, New York, USA – sequence: 6 givenname: Hafiz Muzaffar surname: Akbar Khan fullname: Akbar Khan, Hafiz Muzaffar organization: Division of Gastroenterology, SUNY Upstate Medical University, Syracuse, New York, USA – sequence: 7 givenname: Bishnu surname: Sapkota fullname: Sapkota, Bishnu organization: Division of Gastroenterology, SUNY Upstate Medical University, Syracuse, New York, USA – sequence: 8 givenname: Sherif surname: Andrawes fullname: Andrawes, Sherif organization: Division of Gastroenterology and Hepatology, Northwell/Staten Island University Hospital, Staten Island, New York, USA – sequence: 9 givenname: Sumant surname: Inamdar fullname: Inamdar, Sumant organization: Division of Gastroenterology, University of Arkansas, Little Rock, Arkansas, USA – sequence: 10 givenname: Douglas G. surname: Adler fullname: Adler, Douglas G. email: dougraham2001@gmail.com organization: Center for Advanced Therapeutic Endoscopy, Porter Adventist Hospital, Denver, Colorado, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40056955$$D View this record in MEDLINE/PubMed |
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