Clip-fixed endoloop: an efficacious new method for mucosal defect closure

The 'clip-band closure' technique: a new endoscopic traction method for closure of a large ulcer.

We present the case of a 69-year-old man with a rectal granular-type laterally spreading tumor (LST) of about 50mm in diameter who underwent endoscopic submucosal dissection (ESD) using a Hybrid knife I-type (Erbe, Tübingen, Germany) at our institute (●" Fig.1). The following day, the patient developed rectal bleeding, and endoscopy revealed a large post-ESD ulcer with clots at the base (●" Fig...

"Loop Clip", a new closure device for large mucosal defects after EMR and ESD.

Endoscopic mucosa-submucosal clip closure method.

It is desirable to perform a prophylactic closure using endoclips in patients who are at high risk of delayed bleeding or perforation after endoscopic resection [1]. A mucosal defect after endoscopic mucosal resection can be closed with sequential endoclips as if zipping up the mucosal edges. However, it is difficult to close a large mucosal defect after endoscopic submucosal dissection (ESD) u...

Closure of a mucosal entry using the clip-with-line method

Peroral endoscopic myotomy (POEM) is a revolutionary therapy for achalasia [1,2]. Because incomplete closure of a mucosal entry may lead to severe mediastinitis after POEM, secure closure of this site is very important in clinical settings. However, unlike general surgery, endoscopic procedures are performed with one hand, and there is no countertraction of the mucosa. Therefore, slippage of cl...

Endoscopic closure of a colonic defect using a novel endoloop system via a single-channel endoscope.

Successful closure of postoperative defects is essential for endoscopic resection of early neoplasms. The endoscopic pursestring suture (EPSS) using a double-channel colonoscope has been shown to be safe and effective. This method involves the interaction of the endoloop and the metal clips through two separate endoscope channels [1]. However, single-channel colonoscopes aremore popular in clin...