Endoscopy 2020; 52(S 01): S35
DOI: 10.1055/s-0040-1704112
ESGE Days 2020 oral presentations
Saturday, April 25, 2020 11:00 – 13:00 Advances in endoluminal endoscopy Liffey Meeting Room 2
© Georg Thieme Verlag KG Stuttgart · New York

OVERSTITCH SX ENDOSCOPIC SUTURING SYSTEM FOR GASTROINTESTINAL APPLICATIONS: A MULTICENTER EUROPEAN REGISTRY

R Maselli
1   Humanitas - Research Hospital, Rozzano, Italy
,
R Palma
1   Humanitas - Research Hospital, Rozzano, Italy
,
M Traina
2   ISMETT - IRCCS - UPMC ITAY, Palermo, Italy
,
A Granata
2   ISMETT - IRCCS - UPMC ITAY, Palermo, Italy
,
D Juzgado
3   Quirón Salud, Endoscopy, Madrid, Spain
,
M Bisello
4   Padova University Hospital, Padova, Italy
,
H Neuhaus
5   Evangelisches Krankenhaus Düsseldorf, Dusseldorf, Germany
,
T Beyna
5   Evangelisches Krankenhaus Düsseldorf, Dusseldorf, Germany
,
D Bansi
6   Imperial College London, London, UK
,
L Prades
6   Imperial College London, London, UK
,
P Bhandari
7   Portsmouth University Hospital, Portsmouth, UK
,
M Abdelrahim
7   Portsmouth University Hospital, Portsmouth, UK
,
A Haji
8   King’s College, London, UK
,
R Haidry
9   University College London Hospital, London, UK
,
A Repici
1   Humanitas - Research Hospital, Rozzano, Italy
10   Humanitas - University, Rozzano, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

 

Aims The aim of this registry is to collect demographic, procedural characteristics and follow-up (FU) outcomes of endoscopic suturing from multiple european centers using OverStitch Sx.

Methods A retrospective analysis of a prospectively collected series of any patient who underwent an endoscopic suturing procedure using the OverStitch Sx for a gastrointestinal application from January 2018 to November 2019 was performed.

This registry includes five main groups: Closure of full thickness defects, closure of mucosal defects, Fixation of endoprosthetics, GI Bleeding, Other.

Results To date 107 patients have been entered into the registry. 9 European centers contributed to this first collection with a varying number of procedures from each center (max: 43; min: 1).

There were no cases of failure to introduce the device to the target area. Furthemore, suturing was technically achieved as intended in 106 cases. The total clinical success rate was 85,9%.

In the group of closure of mucosal defects, FU has been reported for 10 patients (range: 90 days-1 year) with a 100% success rate. Patients who underwent fistula closure had a follow-up range of 30 to >90 days with a clinical success rate of 61,5%. All cases of perforation were successfully closed initially with a continued success rate of 94.4%. Closure of post-op leaks was performed in 7 patients with a clinical success rate of 80 %. 30 stents (located in the esophagus: 20; stomach: 5 and duodenum: 5) were fixed by suturing with a continued success-rate in patients with reported FU ranging from 30 to 90 days of 86,6 %. Other procedures included all bariatric revision procedures. FU has been reported for 3 patients with a 100% success rate.

Conclusions This data demonstrates safety and feasibility of endoscopic suturing for several GI indications. This European registry is a valuable tool to pool outcomes and to address future research directions.