Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Application of a traction metal clip with a fishhook-like device in wound sutures after endoscopic resection

  • Wang Fangjun (Department of Gastroenterology, Jiangyin Hospital Affiliated to Nantong University) ;
  • Leng Xia (Department of Gastroenterology, Jiangyin Hospital Affiliated to Nantong University) ;
  • Gao Yi (Department of Gastroenterology, Jiangyin Hospital Affiliated to Nantong University) ;
  • Shen Xiuyun (Department of Gastroenterology, Jiangyin Hospital Affiliated to Nantong University) ;
  • Wang Wenping (Department of Gastroenterology, Jiangyin Hospital Affiliated to Nantong University) ;
  • Liu Huamin (Department of Gastroenterology, Jiangyin Hospital Affiliated to Nantong University) ;
  • Liu Pengfei (Department of Gastroenterology, Jiangyin Hospital Affiliated to Nantong University)
  • Received : 2021.09.23
  • Accepted : 2021.12.21
  • Published : 2022.07.30
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Abstract

Background/Aims: Endoscopic wound suturing is an important factor that affects the ability to remove large and full-thickness lesions during endoscopic resection. We aimed to evaluate the effect of a traction metal clip with a fishhook-like device on wound sutures after endoscopic resection. Methods: From July 2020 to April 2021, patients who met the enrollment criteria were treated with a fishhook-like device during the operation to suture the postoperative wound (group A). Patients with similar conditions and similar size wounds who were treated with a "purse-string suture" to suture the wounds were retrospectively analyzed as the control group (group B). Difference in the suture rate, adverse events, time required for suturing, and number of metal clips were compared between the two groups. Results: The time required for suturing was 7.72±0.51 minutes in group A and 11.50±0.91 minutes in group B. This difference was statistically significant (F=13.071, p=0.001). The number of metal clamps used in group A averaged 8.1 pieces/case, and the number of metal clamps used in group B averaged 7.3 pieces/case. This difference was not statistically significant (F=0.971, p=0.331). Conclusions: The traction metal clip with the fishhook-like device is ingeniously designed and easy to operate. It has a good suture effect on the wound after endoscopic submucosal dissection and effectively prevents postoperative adverse events.

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References

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