Double-nylon purse-string suture technique: Another addition to the endoscopist's toolbox for full-thickness defect closure

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.

Keywords: Cancer; Endoscopy; Endoscopic full-thickness resection; Perforation

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.