{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T08:10:20Z","timestamp":1778227820634,"version":"3.51.4"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Techniques of interventional endoscopy such as implantation of stents, leak closure by clips, or endoscopic suturing can help in reducing risk of an unfavorable outcome for patients with fistulas in the gastrointestinal tract. One method is endoscopic internal drainage (EID), which has been reported to have remarkable success. Because dislocation can reduce success, endoscopic suture techniques have been applied; however, devices could be cumbersome and\/or expensive. The purpose of this experimental study was to evaluation the new endoscopic suturing needle-holder SutuArt for fixation of internal drains at a gastric fistula site. This suturing system is a through-the-scope needle-holder, which can be rotated within the working channel 360 degrees and maneuvered with the endoscope tip in many positions. The experiment was performed using an explanted porcine stomach with attached esophagus. Three consecutive running stitches were performed to provide sufficient fixation of the drain at an experimental \u201cfistula\u201d site. Afterward, the force was measured to dislocate the fixed drain. The results of 12 measurements (median duration 23 minutes; range: 19\u201344) at 6.7 Newton were compared with the reference value of 12 Newton (full-thickness open-stitch), thus withstanding a substantial pulling force. In conclusion, this study demonstrates the conceptual possibility of using an endoscopic needle holder for suture-fixation of a drain. Further clinical investigations are required to establish a full feasibility test of the concept.<\/jats:p>","DOI":"10.1055\/a-2777-9441","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T23:47:06Z","timestamp":1766447226000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Technical aspects of endoscopic internal drainage procedure, secured by endoscopic suture fixation: Experimental study"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7992-0146","authenticated-orcid":false,"given":"Joel","family":"Troya","sequence":"additional","affiliation":[{"name":"Gastroenterology, Universit\u00e4tsklinikum W\u00fcrzburg, Medizinische Klinik und Poliklinik II, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3951-7133","authenticated-orcid":false,"given":"Karl-Hermann","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Gastroenterology, Universit\u00e4tsklinikum W\u00fcrzburg, Medizinische Klinik und Poliklinik II, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8035-3559","authenticated-orcid":false,"given":"Alexander","family":"Hann","sequence":"additional","affiliation":[{"name":"Interventional and Experimental Endoscopy (InExEn), Department of Internal Medicine 2, Universit\u00e4tsklinikum W\u00fcrzburg, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Meining","sequence":"additional","affiliation":[{"name":"Gastroenterology, Universit\u00e4tsklinikum W\u00fcrzburg, Medizinische Klinik und Poliklinik II, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"E1671","DOI":"10.1055\/a-1005-6632","article-title":"International multicenter expert survey on endoscopic treatment of upper gastrointestinal leaks","volume":"7","author":"E Rodrigues-Pinto","year":"2019","journal-title":"Endosc Int Open"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"E490","DOI":"10.1055\/a-1638-8725","article-title":"Closure of a duodenal cutaneous fistula with endoscopic negative pressure therapy using a thin open-pore film drain - an easy tool and simple method","volume":"54","author":"G Loske","year":"2022","journal-title":"Endoscopy"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.gie.2022.02.001","article-title":"Reduction of esophageal stent migration rate with a novel over-the-scope fixation device (with video)","volume":"96","author":"M Schiemer","year":"2022","journal-title":"Gastrointest Endosc"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"2281","DOI":"10.1007\/s00464-012-2173-z","article-title":"Transgastric small bowel resection with the new multitasking platform EndoSAMURAI for natural orifice transluminal endoscopic surgery","volume":"26","author":"KH Fuchs","year":"2012","journal-title":"Surg Endosc"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"E111","DOI":"10.1055\/s-0034-1377180","article-title":"A new endoscopic closure method for gastric mucosal defects: feasibility of endoscopic hand suturing in an ex vivo porcine model (with video)","volume":"2","author":"O Goto","year":"2014","journal-title":"Endosc Int Open"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1016\/j.gie.2019.12.046","article-title":"Endoscopic hand-suturing is feasible, safe, and may reduce bleeding risk after gastric endoscopic submucosal dissection: a multicenter pilot study (with video)","volume":"91","author":"O Goto","year":"2020","journal-title":"Gastrointest Endosc"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1111\/den.14045","article-title":"Endoscopic hand suturing for mucosal defect closure after gastric endoscopic submucosal dissection may reduce the risk of postoperative bleeding in patients receiving antithrombotic therapy","volume":"34","author":"T Akimoto","year":"2022","journal-title":"Dig Endosc"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1432","DOI":"10.1016\/j.soard.2021.03.013","article-title":"Endoscopic internal drainage for the management of leak, fistula, and collection after sleeve gastrectomy: our experience in 617 consecutive patients","volume":"17","author":"G Donatelli","year":"2021","journal-title":"Surg Obes Relat Dis"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.gie.2024.08.001","article-title":"Feasibility of a new endoscopic suturing device: a first Western experience (with video)","volume":"101","author":"MW Scheppach","year":"2025","journal-title":"Gastrointest Endosc"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1016\/j.gie.2025.03.002","article-title":"Comparing the safety and efficacy of over-the scope suturing, through the scope suturing, and endoscopic hand suturing for closure of GI defects after endoscopic resection: systematic review and meta-analysis","volume":"102","author":"VC Suresh Kumar","year":"2025","journal-title":"Gastrointest Endosc"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2777-9441.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T07:17:48Z","timestamp":1778224668000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2777-9441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,22]]},"references-count":10,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,1,13]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a27779441"],"URL":"https:\/\/doi.org\/10.1055\/a-2777-9441","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12,22]]},"published":{"date-parts":[[2025,12,22]]}}}