ASGE-JGES Endoscopic Submucosal Dissection ESD (On-demand) | October 2025-LAB - Advanced ESD Techniques

Video Transcription

Video Summary

Dr. Sergei Kancelboi, co-creator of the Overstitch device, demonstrates expert techniques for closing gastrointestinal defects using the overdraft suturing system. He explains that the device allows for controlled, efficient closure of various-sized defects by precisely placing sutures in the mucosal and submucosal layers, which provide the strongest tissue hold. The technique involves careful needle transfer to avoid crisscrossing sutures and can be performed from right-to-left or left-to-right, depending on preference. The Helix device may be used for full-thickness gastric tissue grabs, especially in bariatric procedures, but is generally avoided in the colon or esophagus. Dr. Kancelboi emphasizes proper needle and suture management to ensure effective closure and warns against complications like crisscrossing sutures or catching the suture with the Helix. Suturing offers superior closure quality compared to clips, preventing delayed bleeding and often eliminating the need for surgery in cases like perforations. The procedure is efficient, reliable, and considered surgical quality.

Keywords

Overstitch device

gastrointestinal defect closure

overdraft suturing system

Helix device

needle transfer technique

surgical suturing advantages