Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 7, 2024; 30(9): 1143-1153
Published online Mar 7, 2024. doi: 10.3748/wjg.v30.i9.1143
Double-nylon purse-string suture in closing postoperative wounds following endoscopic resection of large (≥ 3 cm) gastric submucosal tumors
Shan-Shan Wang, Meng-Yao Ji, Xu Huang, Yan-Xia Li, Shi-Jie Yu, Yu Zhao, Lei Shen
Shan-Shan Wang, Meng-Yao Ji, Xu Huang, Yan-Xia Li, Shi-Jie Yu, Yu Zhao, Lei Shen, Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan 430000, Hubei province, China
Co-first authors: Shan-Shan Wang and Meng-Yao Ji.
Author contributions: Shen L proposed the conception and design of the research content; The surgery was performed by Shen L; Wang SS, Ji MY, Huang X, Li YX, Yu SJ and Zhao Y for postoperative observation and management of patients; Wang SS and Ji MY completed data collection and analysis and article writing; Shen L critically revised the important knowledge content of the article; Shen L gives final approval to the article.
Institutional review board statement: This observational study was approved by the Ethics Committee of Renmin Hospital of Wuhan University.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
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: Lei Shen, PhD, Chief Doctor, Department of Gastroenterology, Renmin Hospital of Wuhan University, No. 99 Jiefang Road, Wuchang District, Wuhan 430000, Hubei Province, China. szggyx@163.com
Received: December 1, 2023
Peer-review started: December 1, 2023
First decision: January 4, 2024
Revised: January 4, 2024
Accepted: February 2, 2024
Article in press: February 2, 2024
Published online: March 7, 2024
Processing time: 95 Days and 14.9 Hours
Core Tip

Core Tip: This study aimed to evaluate the clinical value of double-nylon purse-string sutures in closing gastric defects following submucosal tumor treatment with endoscopic full-thickness resection. Findings revealed that gastric wall defects were successfully closed using double-nylon purse-string sutures in patients with a tumor (≥ 3 cm), without laparoscopic assistance or need for further surgical treatment. There was also no recurrence or residue of lesions in all participants. We believe that our study makes a significant contribution to the literature because it evaluates the safety and short-term efficacy of a novel closure method in gastrointestinal endoscopy.