Current applications of endoscopic suturing

Table 2 Peroral endoscopic myotomy mucosal tunnel closure comparing endoclips and overstitch

	Endoclip	Overstitch
Total number of patients	62 patients	61 patients
Comparison of 25 consecutive closures
Closure technique (mean number)	8 clips (5-14)	1 suture, 1 cinch, 1 device
Closure duration (mean minutes, P = 0.1)	8.8 min (6-15)	10.1 min (5-16)
Cost analysis (mean dollars, P = 0.2)	$915.84 ($453.81-$2160)	$818
Hospital Stay (mean days, P = 0.1)	1.9 d	1.7 d
Complications	No leaks Increased length of stay (4 d) in one patient with thick mucosal edges approximated with clips and endoloop	No leaks One aborted overstitch closure due to a mucosal tear in the hypopharynx during Overstitch insertion. Had mild sore throat for 4 d