A Case of Intraluminal Endoscopic Suturing of Gastric Perforation
Recent endoscopic equipment development enabled to diagnose premalignant conditions and early gastric and colon cancer resulting in the rise of new methods of endoscopic treatment — endoscopic mucosal resection and endoscopic submucosal dissection. The advantages of such operation are obvious — minimal invasion, organ function preservation, a reduced hospitalization period, though these interventions carry the risk of iatrogenic complications (bleeding, perforation). Perforation is the most dangerous complication requiring immediate laparotomy.
The authors have described a case of successful application of endoscopic suturing device to manage gastric wall iatrogenic perforation resulted from endoscopic submucosal dissection for submucous gastric tumor. The defect was closed using Apollo Overstitch endoscopic suturing device (USA) avoiding laparotomy. The postoperative period was uneventful, and the patient was discharged 5 days after surgery.
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