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X-tackling the path to closure: post-endoscopic submucosal dissection defect resolution strategies

dc.contributor.authorNeves, João A. Cunha
dc.contributor.authorChaves, Jéssica
dc.contributor.authorRibeiro, Mário Dinis
dc.contributor.authorLibânio, Diogo
dc.date.accessioned2024-11-26T11:56:36Z
dc.date.available2024-11-26T11:56:36Z
dc.date.issued2024-10-28
dc.description.abstractMucosal defect closure after endoscopic submucosal dissection (ESD) may reduce the likelihood of delayed bleeding and perforation [1]. Several devices are currently available for the closure of mucosal defects, including through-the-scope (TTS) and over-the-scope (OTS) clips, and OTS endoscopic suturing devices. However, defect closure can be technically demanding, with TTS clips typically limited to defects up to 20 mm, whereas OTS clips and suturing equipment require endoscope removal for device placement. More recently, the X-Tack Endoscopic HeliX Tacking System™, a novel TTS suturing device, has emerged as a potential tool for overcoming technical issues related to previous closure devices. We present 2 cases of gastric post-ESD defect closure with X-Tack, highlighting the technical challenges and main steps required to achieve high-quality closure without exposed submucosal tissue.eng
dc.identifier.doi10.1159/000541865
dc.identifier.eissn2387-1954
dc.identifier.issn2341-4545
dc.identifier.urihttp://hdl.handle.net/10400.1/26342
dc.language.isoeng
dc.peerreviewedyes
dc.publisherS. Karger AG
dc.relation.hasversionhttps://karger.com/pjg/article/doi/10.1159/000541865/915195/X-Tackling-the-Path-to-Closure-Post-Endoscopic
dc.relation.ispartofGE - Portuguese Journal of Gastroenterology
dc.rights.urihttp://creativecommons.org/licenses/by/nc/4.0/
dc.subjectEndoscopy
dc.subjectEndoscopic submucosal dissection
dc.subjectEndoscopic suturing
dc.subjectHemorrhage
dc.titleX-tackling the path to closure: post-endoscopic submucosal dissection defect resolution strategieseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage4
oaire.citation.startPage1
oaire.citation.titleGE - Portuguese Journal of Gastroenterology
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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