| International Session（Workshop）3(JGES・JSGE・JSGS) |
| Sat. November 2nd 9:00 - 12:00 Room 4: Portopia Hotel South Wing Portopia Hall |
| Efficacy of closure of defects after endoscopic procedure using MANTIS Clips | |||
| Eiichiro Yokoyama1, Noboru Kawata1, Hiroyuki Ono1 | |||
| 1Division of Endoscopy, Shizuoka Cancer Center | |||
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| Introduction Recently, a new closure device, MANTISTM Clip, (Boston Scientific USA) has become available in Japan. MANTIS Clip is rotatable, reopenable, and has TruGripTM anchor, which enables to close larger defects than conventional clips by securely grasping the edges of the defect. The aim of this study is to demonstrate situations whether endoscopic closure using MANTIS Clip is effective. Methods We retrospectively evaluated the patients who underwent endoscopic closure of defects due to endoscopic procedure using MANTIS Clip between January 2023 and February 2024 at a single institution. Results 52 patients with 56 lesions in the gastrointestinal tract underwent endoscopic closure of defects using MANTIS Clip. Endoscopic procedures were as follows; endoscopic resection (52 lesions)/ endoscopic full-thickness resection (EFTR) (3 lesions)/ iatrogenic perforation due to endoscopic ultrasound (EUS) scope (1 lesion). There were no delayed adverse events and no surgical conversion. Three of these cases, which are generally regarded as challenging, are presented in the video: after gastric EFTR, after duodenal ESD, and a case of iatrogenic perforation requiring complete closure. Conclusions The MANTIS Clip may offer a viable option for closure of defects in various gastrointestinal procedures that were difficult to close with conventional clips. |
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Index Term 1: endoscopic closure Index Term 2: endoscopic full-thickness resection |
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