OverStitch Sx Endoscopic suturing system in minimally invasive endoscopic procedures: overview of its safety and efficacy and comparison to oversticthTM. (2nd January 2022)

• Record Type: Journal Article
• Authors: Keihanian, Tara; Othman, Mohamed O
• Is Part Of: Expert review of medical devices. Volume 19:Number 1(2022)
• Page Start: 11
• Page End: 23
• Publication Date: 2022-01-02
• Subjects: Endoscopic suturing -- full thickness closure -- fistula repair -- bariatric -- troubleshooting; Medical instruments and apparatus -- Periodicals; 610.28
• DOI: 10.1080/17434440.2022.2019579
• Languages: English
• ISSNs: 1743-4440

Abstract

ABSTRACT: Introduction: OverStitch endoscopic suturing enables advanced closure by tissue approximation via endoscopically placed sutures with the ability to customize suture patterns. Newer OverStitch generation also known as OverStitch Sx overcame the limitation of the previous generation and is compatible with 20 single channel scopes over four platforms with greater maneuverability and visibility. Areas covered: In this article we will focus on the differences between three generations of OverStitch. In addition, we will review existing literature on the efficacy of OverStitch in the management of full thickness defect closure, fistula and leaks repair, stent fixation, and bariatric surgeries along with its complications and limitations. Expert opinion: Assembling overstitch takes less than five minutes and the correct sequence of system assembly is the key for a successful procedure. Transition from the second-generation OverStitch to OverStitch Sx may require three to five cases for learning curve.