Minimally invasive surgery has emerged as the dominant theme of modern surgery, in which
endoscopic surgery plays a key role. The technique of endoscopic surgery has evolved …

Background and Aims Large colon polyps removed by EMR can be complicated by delayed
bleeding. Prophylactic defect clip closure can reduce post-EMR bleeding. Larger defects …

Abstract Background and Aims Closure of endoscopic resection defects can be achieved
with through-the-scope clips, over-the-scope clips or endoscopic suturing. However, these …

Background Complete closure of large mucosal defects following colorectal endoscopic
submucosal dissection (ESD) with through-the-scope (TTS) clips is oftentimes not possible …

Background and Aims There is growing interest in closure of larger mucosal defects, given
the increasing use of endoscopic resection for early GI neoplasia and the advent of …

Obesity is a pandemic afflicting over 650 million adults worldwide.[1] In the US, an estimated
50% of adults will be categorized as obese by the year 2030, with a prevalence of no less …

Background Multiple devices are available for tissue approximation. A new through-the-
scope suturing (TTSS) device has recently been introduced; however, data on its scope of …

Background Peroral endoscopic myotomy (POEM) is now widely used for esophageal
motility disorders including achalasia. Closure of the mucosal incision site is a critical step of …

Methods: This was a retrospective multicenter study involving 9 centers of consecutive adult
patients who underwent suturing using the X-Tack Endoscopic HeliX Tacking System …

Introduction Endoscopic submucosal dissection (ESD) is a widely used technique to remove
early neoplastic lesions. It was primarily used in the initial days to treat gastric lesions, but …