Application of a traction metal clip with a fishhook-like device in wound sutures after endoscopic resection

Wang Fangjun; Leng Xia; Gao Yi; Shen Xiuyun; Wang Wenping; Liu Huamin; Liu Pengfei

doi:10.5946/ce.2021.241

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자료유형: 학술저널

저자정보: Wang Fangjun (Department of Gastroenterology Jiangyin Hospital Affiliated to Nantong University Jiangyin China) Leng Xia (Department of Gastroenterology Jiangyin Hospital Affiliated to Nantong University Jiangyin China) Gao Yi (Department of Gastroenterology Jiangyin Hospital Affiliated to Nantong University Jiangyin China) Shen Xiuyun (Department of Gastroenterology Jiangyin Hospital Affiliated to Nantong University Jiangyin China) Wang Wenping (Department of Gastroenterology Jiangyin Hospital Affiliated to Nantong University Jiangyin China) Liu Huamin (Department of Gastroenterology Jiangyin Hospital Affiliated to Nantong University Jiangyin China) Liu Pengfei (Department of Gastroenterology Jiangyin Hospital Affiliated to Nantong University Jiangyin China)

저널정보: 대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제55권 제4호

발행연도: 2022.7

수록면: 525 - 531 (7page)

DOI: 10.5946/ce.2021.241

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Background/Aims: Endoscopic wound suturing is an important factor that affects the ability to remove large and full-thickness lesionsduring endoscopic resection. We aimed to evaluate the effect of a traction metal clip with a fishhook-like device on wound sutures afterendoscopic resection. Methods: From July 2020 to April 2021, patients who met the enrollment criteria were treated with a fishhook-like device during theoperation to suture the postoperative wound (group A). Patients with similar conditions and similar size wounds who were treatedwith a “purse-string suture” to suture the wounds were retrospectively analyzed as the control group (group B). Difference in the suturerate, 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 statisticallysignificant (F=13.071, p=0.001). The number of metal clamps used in group A averaged 8.1 pieces/case, and the number ofmetal 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 effecton the wound after endoscopic submucosal dissection and effectively prevents postoperative adverse events.

#Endoscopic resection #Fishhook traction clip #Purse-string suture #Suture techniques #Wound suture

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