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]
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00504581
Submitted on:
July 04, 2024, 19:23
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Reader Comments:
After the development of “NOTES” technology many years ago, there has been a significant boost in the improvement and development of technology for closing gastric and colonic iatrogenic perforations. The authors of the editorial provide sufficient and extensive commentary on this topic. I have also read the original article by Wang et al., which I believe helps endoscopists manage the safe closure of gastric wall defects after full-thickness resection of SELs.
However, the comments in the editorial do not fully achieve this. In fact, I miss editorial comments comparing the Double-nylon purse-string suture technique with more sophisticated and challenging methods such as through-the-scope suturing (TTSS) and OTSC, which are difficult to implement and learn and are scarce in many endoscopy units. Additionally, the editorial does not discuss the applicability and ease of implementation of these techniques in the typical workflow of an endoscopy unit in clinical practice, nor do they address the potential for their use in other areas, such as the rectum, colon, and duodenum.
Reply from the Editorial Office:
First, thank you very much for your professional comments on the article published in World Journal of Gastroenterology.
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