Author commentary on Jose Antonio Almario et al.

Jose Antonio Almario et al. Through-the-scope suture closure of nonampullary duodenal endoscopic mucosal resection defects: a retrospective multicenter cohort study

Delayed bleeding is one of the most common adverse events associated with endoscopic mucosal resection (EMR) of nonampullary duodenal polyps. The authors report their experience in 36 patients, with mean duodenal lesion sizes of 29 mm and mean post-EMR mucosal defect sizes of 37 mm, using a novel through-the-scope (TTS) suturing system. Complete closure of the post-EMR defect was achieved in 78 % of patients with TTS suturing alone and in all the remaining cases with adjunctive tools, with no reports of delayed bleeding.

Publication History

Article published online:
29 August 2023