Comparison of over-the-scope-clip and metal clips combined with nylon rope as endoscopic suture methods for full-thickness defect of gastric wall(with video)

作者：Lixia Xu, Changshun Yang, Chao Xu, Xiaoling Zheng, Wanyin Deng, Jinhui Zheng, Shishun Zhong, Xianbin Guo, Wei Liang · 发表于：Zhonghua xiaohua neijing zazhi · 年份：2019 · DOI：10.3760/cma.j.issn.1007-5232.2019.07.008 · 被引用次数：1 · 研究领域：Metastasis and carcinoma case studies、Esophageal and GI Pathology、Gastric Cancer Management and Outcomes

Objective To evaluate the clinical efficacy and safety of different stitching methods, over-the-scope-clip (OTSC) and metal clips combined with nylon rope(King closure), for full-layer gastric wall defect. Methods Data of 75 cases, who underwent endoscopic full-thickness resection (EFTR) of gastric SMTs from May 2015 to May 2018 in our endoscopy center were retrospectively analyzed. According to the closure method, the patients were divided into the OTSC group (20 cases) and the King closure group (55 cases). Comparison was made in gender, age, the largest diameter of tumor, the location of tumor, defect surface diameter, total operating time, defect closure time, closure success rate, the length of hospital stays, cost and postoperative complications between the two groups. Results The baseline data were comparable, and there were no significant differences in age, gender, tumor location, tumor diameter, and defect surface diameter between the two groups(all P>0.05). The success rate of closure was 100% in both groups. In terms of length of hospital stay, there was no significant difference between the two groups (t=1.13, P=0.268). The total operating time was 63.24±43.22 min in the King closure group versus 47.60±18.13 min in the OTSC group (t=2.20, P=0.030). The closure time of the defect surface was 20.85±16.35 min in the King closure group versus 10.95±5.20 min in the OTSC group (t=2.65, P=0.010). Hospitalization costs were 24 200±800 yuan in the King closur...