Endoscopic stitching: techniques and indications.

PURPOSE OF REVIEW Endoscopic suturing has evolved dramatically over the past decade. Early suturing devices had significant limitations preventing widespread use. Newer devices, though not perfect, have overcome many of these limitations. The purpose of this review is to discuss the techniques and current indications for endoscopic suturing. RECENT FINDINGS In addition to technological advances, the indications for endoscopic suturing continue to increase in number. Recent literature has demonstrated successful use of endoscopic suturing for the treatment of procedural adverse events such as leaks, perforations, and fistulas, but newer indications such as anchoring of self-expandable metal stents and bariatric therapy, both primary and secondary, have also been proven to be successful. SUMMARY The availability of endoscopic suturing will likely increase in the coming years and will not be limited to expert centers. Currently available devices require technical expertise but are improved over previous devices.