endoscopic suturing
A minimally invasive technique using specialized endoscopic devices to place sutures for bariatric revision or complication management.
Full Definition
Endoscopic suturing employs flexible endoscopes equipped with suturing devices to place stitches within the gastrointestinal tract without external incisions. In bariatric surgery, this technique is used for pouch reduction, stoma narrowing, fistula repair, and treatment of weight regain after previous procedures. The procedure requires specialized training and equipment, including devices capable of grasping tissue, placing sutures, and securing knots endoscopically. Common applications include endoscopic sleeve gastroplasty, transoral outlet reduction, and repair of gastrogastric fistulas. Success rates vary depending on the specific application and patient selection criteria.
Usage
Usage note: Minimally invasive alternative to surgical revision; requires specialized equipment.
In Context
- "Endoscopic suturing was performed to reduce the dilated gastrojejunal anastomosis from 25mm to 12mm." — Procedure report