Walia A, Trasolini RP, Shahidi N. Double-nylon purse-string suture technique: Another addition to the endoscopist's toolbox for full-thickness defect closure. World J Gastroenterol 2024; 30(25): 3152-3154 [PMID: 39006385 DOI: 10.3748/wjg.v30.i25.3152]
Corresponding Author of This Article
Neal Shahidi, MD, PhD, Assistant Professor, Department of Medicine, University of British Columbia, 770-1190 Hornby Street, Vancouver V6Z2K5, BC, Canada. nealshahidi@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jul 7, 2024; 30(25): 3152-3154 Published online Jul 7, 2024. doi: 10.3748/wjg.v30.i25.3152
Double-nylon purse-string suture technique: Another addition to the endoscopist's toolbox for full-thickness defect closure
Angad Walia, Roberto Paolo Trasolini, Neal Shahidi
Angad Walia, Roberto Paolo Trasolini, Neal Shahidi, Department of Medicine, University of British Columbia, Vancouver V6Z2K5, BC, Canada
Author contributions: Walia A designed and drafted the article; Trasolini RP and Shahidi N provided critical revision of the article for important intellectual content; Shahidi N provided final approval of the article.
Conflict-of-interest statement: Neal Shahidi: Speaker’s Honorarium: Pharmascience, Boston Scientific. Roberto Trasolini: Speaker’s Honorarium: Medtronic, Boston Scientific; Consulting: Fractyl Health. Angad Walia: Nothing to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Neal Shahidi, MD, PhD, Assistant Professor, Department of Medicine, University of British Columbia, 770-1190 Hornby Street, Vancouver V6Z2K5, BC, Canada. nealshahidi@gmail.com
Received: March 30, 2024 Revised: May 23, 2024 Accepted: June 11, 2024 Published online: July 7, 2024 Processing time: 93 Days and 2.9 Hours
Abstract
Iatrogenic perforation is the most feared adverse event in endoscopy. With the expansion of interventional endoscopy in favor of traditional surgery, it is now more crucial than ever to develop effective defect closure techniques. This has culminated in the dissemination of multiple novel closure technologies, including through-the-scope clips, over-the-scope clips, through-the-scope suturing and over-the-scope suturing devices. In this editorial, we comment on the recent publication by Wang and colleagues discussing the performance of the double-nylon purse-string suture technique in the closure of large (> 3 cm) gastric full-thickness defects. This technique offers a promising, practical and cost-effective approach to closure of large full-thickness defects that can be readily implemented across diverse healthcare settings.
Core Tip: Endoscopic full-thickness resection requires effective defect closure. In the recent publication by Wang and colleagues, they demonstrate that a novel double-nylon purse-string suture technique is a promising, practical and cost-effective approach for full-thickness defect closure.
