Complications of the Use of the OverStitch Endoscopic Suturing System

Jessica X Yu; Allison R Schulman

doi:10.1016/j.giec.2019.09.005

Complications of the Use of the OverStitch Endoscopic Suturing System

Gastrointest Endosc Clin N Am. 2020 Jan;30(1):187-195. doi: 10.1016/j.giec.2019.09.005. Epub 2019 Oct 18.

Authors

Jessica X Yu¹, Allison R Schulman²

Affiliations

¹ Division of Gastroenterology and Hepatology, University of Michigan, 1301 Catherine Street, Ann Arbor, MI 48109, USA. Electronic address: yujess@ohsu.edu.
² Division of Gastroenterology and Hepatology, University of Michigan, 1301 Catherine Street, Ann Arbor, MI 48109, USA.

PMID: 31739964
DOI: 10.1016/j.giec.2019.09.005

Abstract

Endoscopic suturing with the OverStitch device is safe and effective for a wide range of applications from defect closure and stent fixation to hemostasis and bariatrics. OverStitch-related complications remain rare, although adverse events such as bleeding, mucosal injury, perigastric fluid collections, leaks, and perforations have been reported. Provider familiarity with the device and the specific pitfalls that may arise with OverStitch use in different situations is necessary to minimize the risk of adverse events. This article reviews potential complications and provides tips and troubleshooting techniques.

Keywords: Complications; Endoscopic suturing; Endoscopy; OverStitch.

Publication types

Review

MeSH terms

Endoscopy, Gastrointestinal / instrumentation*
Endoscopy, Gastrointestinal / methods
Humans
Postoperative Complications / etiology*
Suture Techniques / adverse effects*
Suture Techniques / instrumentation*