Abstract
Technological advances in endoscopic devices have increased the success of endoscopic closure of gastrointestinal (GI) defects, including perforations, fistulas, & leaks. Conventional treatment of these defects is with surgical management, which is associated with significant morbidity &mortality. The Overstitch endoscopic suturing system [Apollo Endosurgery, Tx] has been used for fistula revision, stoma repair and closure of mucosal defects as well as full-thickness closure. Reported data on the use of this device has been in the form of case reports and small case series.
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