Annals of esophagus · 6 authors, 2 centres
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This narrative review describes modern endoscopic tissue approximation devices—including through-the-scope clips, over-the-scope clips, the OverStitch suturing device, and the X-Tack—and their clinical applications for GI tract conditions such as full-thickness defects, leaks, fistulas, stent anchoring, GERD, achalasia (POEM closure), and obesity procedures.
This narrative review synthesizes available literature from the past 15 years on endoscopic tissue approximation devices and their clinical applications. Devices reviewed include through-the-scope clips, over-the-scope clips, the OverStitch endoscopic suturing system (and OverStitch SX), and the X-Tack helical coil tacking system. The authors conclude that further research and device refinement are needed as endoscopic techniques continue to evolve.
