Year 2025 / Volume 117 / Number 9
Digestive Diseases Image
Suturing of a mucosal defect after gastric endoscopic submucosal dissection using a combination of an anchor pronged clip and conventional clips

526-528

DOI: 10.17235/reed.2023.10120/2023

Kazuhiro Furukawa, Satoshi Furune, Takashi Hirose, Hiroki Kawashima,

Abstract
Suturing of a mucosal defect after gastric endoscopic submucosal dissection (ESD) reduces the incidence of adverse events and shortens hospitalization. However, post-ESD mucosal defects are circular, large, and with a thick mucosal layer, which are difficult to suture using conventional clips alone. The MANTIS Clip (Boston Scientific Japan, Tokyo, Japan) is a reopenable, rotatable through-the-scope clip designed for large defect closure. It uses anchor prongs to securely grasp wound edges. The initial use of the MANTIS Clip significantly reduces mucosal defects, which then allows for easy suturing with conventional clips. We herein report a case in which the MANTIS Clip was useful for suturing a mucosal defect after gastric ESD.
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References
1. Goto O, Kaise M, Iwakiri K. What's New with Endoscopic Treatments for Early Gastric Cancer in the "Post-ESD Era"? Digestion. 2022;103:92-98.
2. Kobara H, Tada N, Fujihara S, et al. Clinical and technical outcomes of endoscopic closure of postendoscopic submucosal dissection defects: Literature review over one decade. Dig Endosc. 2023;35:216-231.
3. Wei MT, Friedland S. Use of anchor pronged clips to close complex polyp resection defects. VideoGIE. 2023;8:245-246.
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Citation tools
Furukawa K, Furune S, Hirose T, Kawashima H. Suturing of a mucosal defect after gastric endoscopic submucosal dissection using a combination of an anchor pronged clip and conventional clips. 10120/2023


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Publication history

Received: 26/11/2023

Accepted: 28/11/2023

Online First: 14/12/2023

Published: 15/09/2025

Article Online First time: 18 days

Article editing time: 659 days


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