ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-Esophagology Virtual Demonstration 4

Video Transcription

Video Summary

In this video, Dr. Barham Abudaya and Dr. Shiva Omar demonstrate how to use the Apollo overstitch device for endoscopic suturing. The device has multiple components, including the suturing arm and the needle driver. The suturing arm has two motions, open and close, while the needle driver drives the suture and needle back and forth to the suturing arm. The doctors demonstrate how to load the suture onto the needle driver and transfer it to the suturing arm using a double-channel scope. They then anchor an esophageal stent using the suturing device, demonstrating how to take bites from the stent and the esophageal wall and transfer the suture back to the suturing arm. They also briefly show the helical device used in bariatric indications and full-thickness suturing. The video concludes with them cinching and securing the sutures to anchor the stent. The doctors mention that anchoring the stent with sutures significantly reduces migration rates.

Keywords

Apollo overstitch device

endoscopic suturing

suturing arm

needle driver

double-channel scope

esophageal stent