| International Session（Workshop）3(JGES・JSGE・JSGS) |
| Sat. November 2nd 9:00 - 12:00 Room 4: Portopia Hotel South Wing Portopia Hall |
| Reopenable-clip over the line method (ROLM) for endoscopic defect closure | |||
| Tatsuma Nomura1,2, Shinya Sugimoto2 | |||
| 1Gastroenterology, Suzuka General Hospital, 2Department of Gastroenterology, Ise Red Cross Hospital | |||
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| Defect closure after endoscopic resection reduces postoperative adverse events. Therefore, many defect closure methods using clips have been developed. Our new defect closure method, the reopenable-clip over the line method (ROLM), is a method that can close even large defects in a small lumen because it only requires the placement of a clip on one defect edge. We have performed defect closure with the ROLM in the esophagus, stomach, duodenum, and colon, not only for closure defect after ESD but also for fistula closure and full-thickness defect closure after EFTR. In ROLM, a clip with line is placed at the defect edge. A reopenable-clip with a thread through one tooth is then placed at the contralateral edge of the defect. Repeated placement of the reopenable-clip with a thread through one tooth on the contralateral edge results in complete defect closure. It is not necessary to place clips at both defect edges, and in combination with the tapered hood, it is possible to place clips at the defect edges with pinpoint accuracy. Under water condition after the lumen has been degassed, the clip can be used in areas with poor maneuverability, and balloon-assisted closure is also possible. In this presentation, we will show tips and applications of ROLM based on our experience of many closures using ROLM, using a video slide. |
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Index Term 1: ROLM Index Term 2: Defect closure |
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