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...
Gespeichert in:
| Veröffentlicht in: | Gastrointestinal endoscopy Jg. 102; H. 3; S. 326 - 336.e5 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
Elsevier Inc
01.09.2025
|
| Schlagworte: | |
| ISSN: | 0016-5107, 1097-6779 |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| 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.
[Display omitted] |
|---|---|
| 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 |
| BookMark | eNqFkcFu1DAQhi1URLeFB-CC_AAkjONNsoYTWkGpVIlLOVtee7zrJYlXttMqb8kj4ey2CCHUnizP_38z9vwX5GzwAxLylkHJgDUf9uXWYVlBVZfAS4DqBVkwEG3RtK04IwvIpqJm0J6Tixj3ALCqOHtFzpcAdSPqekF-rX1_UMENW5p2SKOymCaqBkPRWqeVnqi31N9hKLJeRO0P2TWmcUbeZyb4cbv7r3ZsMhg_152mu_n-qFLrA9Wdj2PAecDVNTVoUadIlU0Y_gYDxiw4P3ykcYoJe5WO1TuH98chPSZVqEF1U3TxNXlpVRfxzcN5SX58_XK7_lbcfL-6Xn--KTSvlqmwK63ylpSo6tZoxpuKNWq1FDWvV0JUDFtmNmLDuFIWEDgsNTRcYC6BrRvDL8m7U9_DuOnRyENwvQqTfFxtNrCTQQcfY0D7x8JAzvHJvczxyTk-CVzm-DLz6cRgfnn-X5BROxw0GhfyDqTx7kla_EPrzg05xO4nTs-wvwG14Lnf |
| Cites_doi | 10.1111/den.12839 10.1016/j.vgie.2021.06.001 10.1111/jgh.15148 10.1016/j.gie.2013.10.051 10.1055/a-1970-5528 10.1016/j.gie.2019.12.046 10.1111/den.14397 10.14309/01.ajg.0000954636.39959.65 10.1055/s-0043-110668 10.1016/j.suronc.2022.101742 10.1053/j.gastro.2021.02.036 10.1016/j.gie.2023.03.015 10.1055/a-2284-7334 10.1016/j.tige.2022.11.002 10.1097/MCG.0000000000001977 10.1016/j.gie.2018.04.1575 10.1016/j.gie.2023.11.015 10.1007/s00464-011-1627-z 10.1055/a-1197-6534 10.1016/j.cgh.2018.07.041 10.1016/j.gie.2023.02.031 10.1016/j.gie.2022.11.005 10.1186/s12876-022-02202-3 10.1016/j.gie.2023.04.006 10.1055/a-2077-4832 10.1111/den.14045 10.3748/wjg.v20.i18.5540 10.1159/000527350 10.1016/j.gie.2023.07.046 10.1055/a-1811-7025 10.1016/j.gie.2015.08.074 10.1016/j.vgie.2019.04.018 |
| ContentType | Journal Article |
| Copyright | 2025 American Society for Gastrointestinal Endoscopy Copyright © 2025 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. |
| Copyright_xml | – notice: 2025 American Society for Gastrointestinal Endoscopy – notice: Copyright © 2025 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM |
| DOI | 10.1016/j.gie.2025.03.002 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
| DatabaseTitleList | MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1097-6779 |
| EndPage | 336.e5 |
| ExternalDocumentID | 40056955 10_1016_j_gie_2025_03_002 S001651072500149X |
| Genre | Meta-Analysis Comparative Study Systematic Review Journal Article |
| GroupedDBID | --- --K --M .1- .55 .FO .GJ .~1 0R~ 1B1 1P~ 1RT 1~. 1~5 3O- 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 71M 8P~ 9DU 9JM AABNK AAEDT AAEDW AAIKJ AAKOC AALRI AAOAW AAQFI AAQQT AAQXK AATTM AAWTL AAXKI AAXUO AAYWO ABBQC ABFNM ABFRF ABJNI ABMAC ABMZM ABWVN ABXDB ACDAQ ACGFO ACGFS ACIEU ACLOT ACRLP ACRPL ACVFH ADBBV ADCNI ADEZE ADMUD ADNMO ADVLN AEBSH AEFWE AEIPS AEKER AENEX AEUPX AEVXI AFFNX AFJKZ AFPUW AFRHN AFTJW AFXIZ AGHFR AGQPQ AGUBO AGYEJ AHHHB AIEXJ AIGII AIIUN AIKHN AITUG AJRQY AJUYK AKBMS AKRWK AKYEP ALMA_UNASSIGNED_HOLDINGS AMRAJ ANKPU ANZVX APXCP ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV CS3 DU5 EBS EFJIC EFKBS EFLBG EJD EO8 EO9 EP2 EP3 EX3 F5P FD8 FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HDZ HMK HMO HVGLF HZ~ IHE J1W K-O KOM L7B LZ1 M28 M41 MO0 N4W N9A O-L O9- OAUVE OC. ON0 OZT P-8 P-9 P2P PC. Q38 R2- ROL RPZ SAE SDF SDG SEL SES SEW SJN SPCBC SSH SSZ T5K UNMZH UV1 WH7 WOW X7M Z5R ZGI ZXP ~G- ~HD AAYXX CITATION AGCQF CGR CUY CVF ECM EIF NPM |
| ID | FETCH-LOGICAL-c324t-f8ca677a9257dc136216a84953589921e71db9b13aaf0e0304c0639e9b10f56d3 |
| ISICitedReferencesCount | 1 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001555387700003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 0016-5107 |
| IngestDate | Fri Sep 12 03:41:14 EDT 2025 Thu Nov 27 01:03:37 EST 2025 Sat Nov 29 17:06:35 EST 2025 Sat Nov 29 06:56:50 EST 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 3 |
| Keywords | EHS ESD |
| Language | English |
| License | Copyright © 2025 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-c324t-f8ca677a9257dc136216a84953589921e71db9b13aaf0e0304c0639e9b10f56d3 |
| PMID | 40056955 |
| ParticipantIDs | pubmed_primary_40056955 crossref_primary_10_1016_j_gie_2025_03_002 elsevier_sciencedirect_doi_10_1016_j_gie_2025_03_002 elsevier_clinicalkey_doi_10_1016_j_gie_2025_03_002 |
| PublicationCentury | 2000 |
| PublicationDate | September 2025 2025-09-00 2025-Sep |
| PublicationDateYYYYMMDD | 2025-09-01 |
| PublicationDate_xml | – month: 09 year: 2025 text: September 2025 |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Gastrointestinal endoscopy |
| PublicationTitleAlternate | Gastrointest Endosc |
| PublicationYear | 2025 |
| Publisher | Elsevier Inc |
| Publisher_xml | – name: Elsevier Inc |
| References | Guo, Zhang, Chen (bib2) 2014; 20 Liu, Zhang, Wang (bib7) 2020; 35 Keihanian, Zabad, Khalaf (bib12) 2023; 98 Agnihotri, Mitsuhashi, Holmes (bib17) 2024; 99 McCarty, Aihara (bib13) 2021; 6 Rashid, Alomari, Afraz (bib29) 2022; 43 Farha, Ramberan, Aihara (bib14) 2023; 55 Draganov, Wang, Othman (bib8) 2019; 17 Canakis, Dawod, Dawod (bib27) 2024; 58 Zwager, Mueller, Stritzke (bib28) 2023; 97 Tun, Saghir, Lo (bib33) 2023; 118 Kantsevoy, Bitner, Hajiyeva (bib9) 2016; 84 Grande, Bertani, Cocca (bib21) 2022; 54 Ali, Canakis, Huang (bib11) 2023; 25 Almario, Zhang, Cohen (bib26) 2023; 55 Canakis, Deliwala, Frohlinger (bib34) 2024; 56 Kobara, Tada, Fujihara (bib31) 2023; 35 Goto, Sasaki, Akimoto (bib16) 2017; 49 Song, Dou, Liu (bib20) 2023; 99 Pimentel-Nunes, Libânio, Bastiaansen (bib4) 2022; 54 Higuchi, Goto, Takahashi (bib19) 2023; 104 Akimoto, Goto, Nishizawa (bib6) 2017; 29 Akimoto, Goto, Sasaki (bib15) 2022; 34 Han, Wani, Edmundowicz (bib10) 2020; 8 Kantsevoy, Bitner, Mitrakov (bib23) 2014; 79 Ramay, Kim (bib24) 2018; 87 Goto, Oyama, Ono (bib18) 2020; 91 Jinushi, Tashima, Fujita (bib32) 2023; 2 Draganov, Aihara, Karasik (bib5) 2021; 160 Omori, Goto, Habu (bib30) 2022; 22 Forbes, Elhanafi, Al-Haddad (bib1) 2023; 98 Park, Cho, Kang (bib3) 2011; 25 Bi, Zhang, Alqaisieh (bib25) 2023; 98 Han, Wani, Kaltenbach (bib22) 2019; 4 Han (10.1016/j.gie.2025.03.002_bib10) 2020; 8 Bi (10.1016/j.gie.2025.03.002_bib25) 2023; 98 Goto (10.1016/j.gie.2025.03.002_bib16) 2017; 49 Almario (10.1016/j.gie.2025.03.002_bib26) 2023; 55 Akimoto (10.1016/j.gie.2025.03.002_bib15) 2022; 34 Kantsevoy (10.1016/j.gie.2025.03.002_bib23) 2014; 79 Keihanian (10.1016/j.gie.2025.03.002_bib12) 2023; 98 Zwager (10.1016/j.gie.2025.03.002_bib28) 2023; 97 Song (10.1016/j.gie.2025.03.002_bib20) 2023; 99 Park (10.1016/j.gie.2025.03.002_bib3) 2011; 25 McCarty (10.1016/j.gie.2025.03.002_bib13) 2021; 6 Goto (10.1016/j.gie.2025.03.002_bib18) 2020; 91 Grande (10.1016/j.gie.2025.03.002_bib21) 2022; 54 Guo (10.1016/j.gie.2025.03.002_bib2) 2014; 20 Ali (10.1016/j.gie.2025.03.002_bib11) 2023; 25 Akimoto (10.1016/j.gie.2025.03.002_bib6) 2017; 29 Agnihotri (10.1016/j.gie.2025.03.002_bib17) 2024; 99 Canakis (10.1016/j.gie.2025.03.002_bib27) 2024; 58 Jinushi (10.1016/j.gie.2025.03.002_bib32) 2023; 2 Rashid (10.1016/j.gie.2025.03.002_bib29) 2022; 43 Draganov (10.1016/j.gie.2025.03.002_bib5) 2021; 160 Higuchi (10.1016/j.gie.2025.03.002_bib19) 2023; 104 Farha (10.1016/j.gie.2025.03.002_bib14) 2023; 55 Omori (10.1016/j.gie.2025.03.002_bib30) 2022; 22 Kobara (10.1016/j.gie.2025.03.002_bib31) 2023; 35 Forbes (10.1016/j.gie.2025.03.002_bib1) 2023; 98 Han (10.1016/j.gie.2025.03.002_bib22) 2019; 4 Draganov (10.1016/j.gie.2025.03.002_bib8) 2019; 17 Tun (10.1016/j.gie.2025.03.002_bib33) 2023; 118 Canakis (10.1016/j.gie.2025.03.002_bib34) 2024; 56 Liu (10.1016/j.gie.2025.03.002_bib7) 2020; 35 Ramay (10.1016/j.gie.2025.03.002_bib24) 2018; 87 Kantsevoy (10.1016/j.gie.2025.03.002_bib9) 2016; 84 Pimentel-Nunes (10.1016/j.gie.2025.03.002_bib4) 2022; 54 |
| References_xml | – volume: 55 start-page: 571 year: 2023 end-page: 577 ident: bib14 article-title: A novel through-the-scope helix tack-and-suture device for mucosal defect closure following colorectal endoscopic submucosal dissection: a multicenter study publication-title: Endoscopy – volume: 34 start-page: 123 year: 2022 end-page: 132 ident: bib15 article-title: Endoscopic hand suturing for mucosal defect closure after gastric endoscopic submucosal dissection may reduce the risk of postoperative bleeding in patients receiving antithrombotic therapy publication-title: Dig Endosc – volume: 118 start-page: S950 year: 2023 ident: bib33 article-title: Efficacy and safety of Overstitch endoscopic suturing device for closure of defects after endoscopic submucosal dissection: a systematic review and meta-analysis publication-title: Am J Gastroenterol – volume: 84 start-page: 487 year: 2016 end-page: 493 ident: bib9 article-title: Endoscopic management of colonic perforations: clips versus suturing closure (with videos) publication-title: Gastrointest Endosc – volume: 54 start-page: S124 year: 2022 ident: bib21 article-title: Overstitch suture of parietal defects after ESD and EFTR is feasible, safe and reduce the need for hospitalization publication-title: Endoscopy – volume: 6 start-page: 446 year: 2021 end-page: 449 ident: bib13 article-title: Hybrid endoscopic submucosal dissection with novel helix tacking system for defect closure publication-title: VideoGIE – volume: 98 start-page: 122 year: 2023 end-page: 129 ident: bib25 article-title: Novel through-the-scope suture closure of colonic EMR defects (with video) publication-title: Gastrointest Endosc – volume: 79 start-page: 503 year: 2014 end-page: 507 ident: bib23 article-title: Endoscopic suturing closure of large mucosal defects after endoscopic submucosal dissection is technically feasible, fast, and eliminates the need for hospitalization (with videos) publication-title: Gastrointest Endosc – volume: 25 start-page: 2666 year: 2011 end-page: 2677 ident: bib3 article-title: The effectiveness and safety of endoscopic submucosal dissection compared with endoscopic mucosal resection for early gastric cancer: a systematic review and metaanalysis publication-title: Surg Endosc – volume: 29 start-page: 547 year: 2017 end-page: 558 ident: bib6 article-title: Endoscopic closure after intraluminal surgery publication-title: Dig Endosc – volume: 8 start-page: E1212 year: 2020 end-page: E1217 ident: bib10 article-title: Feasibility of endoscopic suturing to prevent adverse events and hospitalization after endoscopic submucosal dissection publication-title: Endosc Int Open – volume: 99 start-page: 614 year: 2023 end-page: 624.e2 ident: bib20 article-title: A strategy combining endoscopic hand-suturing with clips for closure of rectal defects after endoscopic submucosal dissection with or without myectomy (with video) publication-title: Gastrointest Endosc – volume: 56 start-page: 605 year: 2024 end-page: 611 ident: bib34 article-title: Endoscopic outcomes using a novel through-the-scope tack and suture system for gastrointestinal defect closure: a systematic review and meta-analysis publication-title: Endoscopy – volume: 98 start-page: 271 year: 2023 end-page: 284 ident: bib1 article-title: American Society for Gastrointestinal Endoscopy guideline on endoscopic submucosal dissection for the management of early esophageal and gastric cancers: summary and recommendations publication-title: Gastrointest Endosc – volume: 104 start-page: 121 year: 2023 end-page: 128 ident: bib19 article-title: Chronological changes in mucosal deformity by endoscopic suturing after gastric endoscopic submucosal dissection: a multicenter retrospective analysis publication-title: Digestion – volume: 98 start-page: 381 year: 2023 end-page: 391 ident: bib12 article-title: Safety and efficacy of a novel suturing device for closure of large defects after endoscopic submucosal dissection (with video) publication-title: Gastrointest Endosc – volume: 87 start-page: AB267 year: 2018 ident: bib24 article-title: Endoscopic suturing of mucosal defects after endoscopic submucosal dissection (ESD) results in no delayed bleeding or perforation [abstract] publication-title: Gastrointest Endosc – volume: 55 start-page: 865 year: 2023 end-page: 870 ident: bib26 article-title: Through-the-scope suture closure of nonampullary duodenal endoscopic mucosal resection defects: a retrospective multicenter cohort study publication-title: Endoscopy – volume: 91 start-page: 1195 year: 2020 end-page: 1202 ident: bib18 article-title: Endoscopic hand-suturing is feasible, safe, and may reduce bleeding risk after gastric endoscopic submucosal dissection: a multicenter pilot study (with video) publication-title: Gastrointest Endosc – volume: 4 start-page: 310 year: 2019 end-page: 313 ident: bib22 article-title: Endoscopic suturing for closure of endoscopic submucosal dissection defects publication-title: VideoGIE – volume: 35 start-page: 216 year: 2023 end-page: 231 ident: bib31 article-title: Clinical and technical outcomes of endoscopic closure of postendoscopic submucosal dissection defects: literature review over one decade publication-title: Dig Endosc – volume: 160 start-page: 2317 year: 2021 end-page: 2327 ident: bib5 article-title: Endoscopic submucosal dissection in North America: a large prospective multicenter study publication-title: Gastroenterology – volume: 20 start-page: 5540 year: 2014 end-page: 5547 ident: bib2 article-title: Endoscopic submucosal dissection vs endoscopic mucosal resection for superficial esophageal cancer publication-title: World J Gastroenterol – volume: 2 start-page: 1034 year: 2023 end-page: 1039 ident: bib32 article-title: Conventional clips vs over-the-scope clips for mucosal defects closure after duodenal endoscopic submucosal dissection publication-title: Gastroenterol Hepatol Adv – volume: 54 start-page: 591 year: 2022 end-page: 622 ident: bib4 article-title: Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) guideline—update 2022 publication-title: Endoscopy – volume: 17 start-page: 16 year: 2019 end-page: 25 ident: bib8 article-title: AGA Institute clinical practice update: endoscopic submucosal dissection in the United States publication-title: Clin Gastroenterol Hepatol – volume: 49 start-page: 792 year: 2017 end-page: 797 ident: bib16 article-title: Endoscopic hand-suturing for defect closure after gastric endoscopic submucosal dissection: a pilot study in animals and in humans publication-title: Endoscopy – volume: 58 start-page: 1052 year: 2024 end-page: 1057 ident: bib27 article-title: Efficacy, feasibility, and safety of the X-Tack endoscopic HeliX tacking system: a multicenter experience publication-title: J Clin Gastroenterol – volume: 97 start-page: 780 year: 2023 end-page: 789 ident: bib28 article-title: Adverse events of endoscopic full-thickness resection: results from the German and Dutch nationwide colorectal FTRD registry publication-title: Gastrointest Endosc – volume: 25 start-page: 46 year: 2023 end-page: 51 ident: bib11 article-title: Closure of mucosal defects using endoscopic suturing following endoscopic submucosal dissection: a single-center experience publication-title: Tech Innov Gastrointest Endosc – volume: 43 year: 2022 ident: bib29 article-title: EMR and ESD: indications, techniques and results publication-title: Surg Oncol – volume: 22 start-page: 139 year: 2022 ident: bib30 article-title: Prophylactic clip closure for mucosal defects is associated with reduced adverse events after colorectal endoscopic submucosal dissection: a propensity-score matching analysis publication-title: BMC Gastroenterol – volume: 35 start-page: 1869 year: 2020 end-page: 1877 ident: bib7 article-title: Effect of prophylactic closure on adverse events after colorectal endoscopic submucosal dissection: a meta-analysis publication-title: J Gastroenterol Hepatol – volume: 99 start-page: 237 year: 2024 end-page: 244 ident: bib17 article-title: Randomized trial of gastric and colorectal endoscopic submucosal dissection defect closure comparing a novel through-the-scope suturing system with an over-the-scope suturing system (with video) publication-title: Gastrointest Endosc – volume: 29 start-page: 547 year: 2017 ident: 10.1016/j.gie.2025.03.002_bib6 article-title: Endoscopic closure after intraluminal surgery publication-title: Dig Endosc doi: 10.1111/den.12839 – volume: 6 start-page: 446 year: 2021 ident: 10.1016/j.gie.2025.03.002_bib13 article-title: Hybrid endoscopic submucosal dissection with novel helix tacking system for defect closure publication-title: VideoGIE doi: 10.1016/j.vgie.2021.06.001 – volume: 35 start-page: 1869 year: 2020 ident: 10.1016/j.gie.2025.03.002_bib7 article-title: Effect of prophylactic closure on adverse events after colorectal endoscopic submucosal dissection: a meta-analysis publication-title: J Gastroenterol Hepatol doi: 10.1111/jgh.15148 – volume: 79 start-page: 503 year: 2014 ident: 10.1016/j.gie.2025.03.002_bib23 article-title: Endoscopic suturing closure of large mucosal defects after endoscopic submucosal dissection is technically feasible, fast, and eliminates the need for hospitalization (with videos) publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2013.10.051 – volume: 55 start-page: 571 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib14 article-title: A novel through-the-scope helix tack-and-suture device for mucosal defect closure following colorectal endoscopic submucosal dissection: a multicenter study publication-title: Endoscopy doi: 10.1055/a-1970-5528 – volume: 91 start-page: 1195 year: 2020 ident: 10.1016/j.gie.2025.03.002_bib18 article-title: Endoscopic hand-suturing is feasible, safe, and may reduce bleeding risk after gastric endoscopic submucosal dissection: a multicenter pilot study (with video) publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2019.12.046 – volume: 35 start-page: 216 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib31 article-title: Clinical and technical outcomes of endoscopic closure of postendoscopic submucosal dissection defects: literature review over one decade publication-title: Dig Endosc doi: 10.1111/den.14397 – volume: 118 start-page: S950 issue: 10 Suppl year: 2023 ident: 10.1016/j.gie.2025.03.002_bib33 article-title: Efficacy and safety of Overstitch endoscopic suturing device for closure of defects after endoscopic submucosal dissection: a systematic review and meta-analysis publication-title: Am J Gastroenterol doi: 10.14309/01.ajg.0000954636.39959.65 – volume: 54 start-page: S124 issue: Suppl 01 year: 2022 ident: 10.1016/j.gie.2025.03.002_bib21 article-title: Overstitch suture of parietal defects after ESD and EFTR is feasible, safe and reduce the need for hospitalization publication-title: Endoscopy – volume: 49 start-page: 792 year: 2017 ident: 10.1016/j.gie.2025.03.002_bib16 article-title: Endoscopic hand-suturing for defect closure after gastric endoscopic submucosal dissection: a pilot study in animals and in humans publication-title: Endoscopy doi: 10.1055/s-0043-110668 – volume: 43 year: 2022 ident: 10.1016/j.gie.2025.03.002_bib29 article-title: EMR and ESD: indications, techniques and results publication-title: Surg Oncol doi: 10.1016/j.suronc.2022.101742 – volume: 160 start-page: 2317 year: 2021 ident: 10.1016/j.gie.2025.03.002_bib5 article-title: Endoscopic submucosal dissection in North America: a large prospective multicenter study publication-title: Gastroenterology doi: 10.1053/j.gastro.2021.02.036 – volume: 98 start-page: 271 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib1 article-title: American Society for Gastrointestinal Endoscopy guideline on endoscopic submucosal dissection for the management of early esophageal and gastric cancers: summary and recommendations publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2023.03.015 – volume: 56 start-page: 605 year: 2024 ident: 10.1016/j.gie.2025.03.002_bib34 article-title: Endoscopic outcomes using a novel through-the-scope tack and suture system for gastrointestinal defect closure: a systematic review and meta-analysis publication-title: Endoscopy doi: 10.1055/a-2284-7334 – volume: 25 start-page: 46 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib11 article-title: Closure of mucosal defects using endoscopic suturing following endoscopic submucosal dissection: a single-center experience publication-title: Tech Innov Gastrointest Endosc doi: 10.1016/j.tige.2022.11.002 – volume: 58 start-page: 1052 year: 2024 ident: 10.1016/j.gie.2025.03.002_bib27 article-title: Efficacy, feasibility, and safety of the X-Tack endoscopic HeliX tacking system: a multicenter experience publication-title: J Clin Gastroenterol doi: 10.1097/MCG.0000000000001977 – volume: 87 start-page: AB267 year: 2018 ident: 10.1016/j.gie.2025.03.002_bib24 article-title: Endoscopic suturing of mucosal defects after endoscopic submucosal dissection (ESD) results in no delayed bleeding or perforation [abstract] publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2018.04.1575 – volume: 99 start-page: 614 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib20 article-title: A strategy combining endoscopic hand-suturing with clips for closure of rectal defects after endoscopic submucosal dissection with or without myectomy (with video) publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2023.11.015 – volume: 2 start-page: 1034 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib32 article-title: Conventional clips vs over-the-scope clips for mucosal defects closure after duodenal endoscopic submucosal dissection publication-title: Gastroenterol Hepatol Adv – volume: 25 start-page: 2666 year: 2011 ident: 10.1016/j.gie.2025.03.002_bib3 article-title: The effectiveness and safety of endoscopic submucosal dissection compared with endoscopic mucosal resection for early gastric cancer: a systematic review and metaanalysis publication-title: Surg Endosc doi: 10.1007/s00464-011-1627-z – volume: 8 start-page: E1212 year: 2020 ident: 10.1016/j.gie.2025.03.002_bib10 article-title: Feasibility of endoscopic suturing to prevent adverse events and hospitalization after endoscopic submucosal dissection publication-title: Endosc Int Open doi: 10.1055/a-1197-6534 – volume: 17 start-page: 16 year: 2019 ident: 10.1016/j.gie.2025.03.002_bib8 article-title: AGA Institute clinical practice update: endoscopic submucosal dissection in the United States publication-title: Clin Gastroenterol Hepatol doi: 10.1016/j.cgh.2018.07.041 – volume: 98 start-page: 122 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib25 article-title: Novel through-the-scope suture closure of colonic EMR defects (with video) publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2023.02.031 – volume: 97 start-page: 780 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib28 article-title: Adverse events of endoscopic full-thickness resection: results from the German and Dutch nationwide colorectal FTRD registry publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2022.11.005 – volume: 22 start-page: 139 year: 2022 ident: 10.1016/j.gie.2025.03.002_bib30 article-title: Prophylactic clip closure for mucosal defects is associated with reduced adverse events after colorectal endoscopic submucosal dissection: a propensity-score matching analysis publication-title: BMC Gastroenterol doi: 10.1186/s12876-022-02202-3 – volume: 98 start-page: 381 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib12 article-title: Safety and efficacy of a novel suturing device for closure of large defects after endoscopic submucosal dissection (with video) publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2023.04.006 – volume: 55 start-page: 865 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib26 article-title: Through-the-scope suture closure of nonampullary duodenal endoscopic mucosal resection defects: a retrospective multicenter cohort study publication-title: Endoscopy doi: 10.1055/a-2077-4832 – volume: 34 start-page: 123 year: 2022 ident: 10.1016/j.gie.2025.03.002_bib15 article-title: Endoscopic hand suturing for mucosal defect closure after gastric endoscopic submucosal dissection may reduce the risk of postoperative bleeding in patients receiving antithrombotic therapy publication-title: Dig Endosc doi: 10.1111/den.14045 – volume: 20 start-page: 5540 year: 2014 ident: 10.1016/j.gie.2025.03.002_bib2 article-title: Endoscopic submucosal dissection vs endoscopic mucosal resection for superficial esophageal cancer publication-title: World J Gastroenterol doi: 10.3748/wjg.v20.i18.5540 – volume: 104 start-page: 121 year: 2023 ident: 10.1016/j.gie.2025.03.002_bib19 article-title: Chronological changes in mucosal deformity by endoscopic suturing after gastric endoscopic submucosal dissection: a multicenter retrospective analysis publication-title: Digestion doi: 10.1159/000527350 – volume: 99 start-page: 237 year: 2024 ident: 10.1016/j.gie.2025.03.002_bib17 article-title: Randomized trial of gastric and colorectal endoscopic submucosal dissection defect closure comparing a novel through-the-scope suturing system with an over-the-scope suturing system (with video) publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2023.07.046 – volume: 54 start-page: 591 year: 2022 ident: 10.1016/j.gie.2025.03.002_bib4 article-title: Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) guideline—update 2022 publication-title: Endoscopy doi: 10.1055/a-1811-7025 – volume: 84 start-page: 487 year: 2016 ident: 10.1016/j.gie.2025.03.002_bib9 article-title: Endoscopic management of colonic perforations: clips versus suturing closure (with videos) publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2015.08.074 – volume: 4 start-page: 310 year: 2019 ident: 10.1016/j.gie.2025.03.002_bib22 article-title: Endoscopic suturing for closure of endoscopic submucosal dissection defects publication-title: VideoGIE doi: 10.1016/j.vgie.2019.04.018 |
| SSID | ssj0008231 |
| Score | 2.488116 |
| SecondaryResourceType | review_article |
| Snippet | Data comparing the efficacy and safety of OverStitch (Apollo Endosurgery, Marlborough, Mass, USA), X-Tack (Apollo Endosurgery), and endoscopic hand suturing... |
| SourceID | pubmed crossref elsevier |
| SourceType | Index Database Publisher |
| StartPage | 326 |
| SubjectTerms | Endoscopy, Gastrointestinal - methods Humans Suture Techniques - adverse effects Suture Techniques - instrumentation Sutures |
| Title | 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 |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S001651072500149X https://dx.doi.org/10.1016/j.gie.2025.03.002 https://www.ncbi.nlm.nih.gov/pubmed/40056955 |
| Volume | 102 |
| WOSCitedRecordID | wos001555387700003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVESC databaseName: Elsevier SD Freedom Collection Journals 2021 customDbUrl: eissn: 1097-6779 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0008231 issn: 0016-5107 databaseCode: AIEXJ dateStart: 20200601 isFulltext: true titleUrlDefault: https://www.sciencedirect.com providerName: Elsevier |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1Lb9QwELb6QIgL4lkKBfnAiSVV4ry5laosi6CqtKXaW-QkTjdVSarNblX-JT-JGb82Wx4FJC5RFMv2SPMl_jL-PEPIyyr3k1yGl3yeO0GRBnCXew4vXR6LpIiYFI-ffIwPD5PJJD1aW98xZ2Euz-OmSa6u0ov_6mp4Bs7Go7N_4W47KDyAe3A6XMHtcP0jx--ryoL6FFTHKxRlYnhcYLYIrO4O_BCFmw60O_JUyqDDzCK6uomu3POLVjlQU7bYgumxZdxdt0vJYnHeYtARJxmOBqVQchFVirzXEU89FUZYcj2dtFIpfxFz7nCdNKVPooe8m89aTHQB3ydk02Zcuz0wBgu66cDqx0_qbtospLZg-TaMweSpiopP69wqk9pTrjYUJMGe1V95yVHr3dQWnK1ufcvzxeBotx85YaGVhulwnjnSs6I4RQ7shLoUr10iXNZ7F_zeB99nUY87-H60K8KfrkwqSHK2e1pjclYWqtS6bLkMW3HkGE1AC4Cd4g_sZJ1ssjhM4Zu9uTc6mHywTAO3cBXTUCabXXupX7w20Q28q0eqju-Ru_pviO4pFN8na6J5QG5_0nqPh-SbBTMFOFIFZgrgoAbMtK3oKpipgeNr-gOUe21yEItHikC2rRSATDWQcYLhiGogUwnkfkcL5Dd0CWOqYCwnWYHxI_L53cHx_ntH1yBxCvjVmDtVUvAojnkKS1tZeED3vIgnKMoOkzRlnoi9Mk9zz-e8cgXqDAok_QIeuVUYlf5jstG0jXhCaBHlXsmCNOUsDiKX5zEsoHlQ-ZhyMBTVNnllPJRdqFQzmdFgnmXgzgzdmbl-Bu7cJsz4MDNnqGHVzwBuv-sU2E6aYCvifFO3LQUSa1aAGYTTMHz6L1Y8I3eWb-MO2ZjPFuI5uVVczutu9kJj_DuQdAZO |
| linkProvider | Elsevier |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Comparing+the+safety+and+efficacy+of+over-the-scope+suturing%2C+through-the-scope+suturing%2C+and+endoscopic+hand+suturing+for+closure+of+GI+defects+after+endoscopic+resection%3A+systematic+review+and+meta-analysis&rft.jtitle=Gastrointestinal+endoscopy&rft.au=Suresh+Kumar%2C+Vishnu+Charan&rft.au=Singh%2C+Sahib&rft.au=Loganathan%2C+Priyadarshini&rft.au=Mohan%2C+Babu+P.&rft.date=2025-09-01&rft.pub=Elsevier+Inc&rft.issn=0016-5107&rft.volume=102&rft.issue=3&rft.spage=326&rft.epage=336.e5&rft_id=info:doi/10.1016%2Fj.gie.2025.03.002&rft.externalDocID=S001651072500149X |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0016-5107&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0016-5107&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0016-5107&client=summon |