Layer‐to‐layer closure of a large gastric artificial ulcer with using side‐channel tube

Abstract

Gastrointestinal defect closure supports earlier healing of artificial ulcers, and may reduce postoperative adverse events, especially delayed bleeding due to recent increasing proportion of antithrombotic drug uptake. While a colonic artificial defect can easily be closed using endoscopic hemoclips, complete gastric closure is more difficult because of the thick walls. Several closure techniques using the endoloop^1,2 and the clip‐and‐line³ have recently been reported. However, in our experience, these procedures seem to induce muscle damage, as the hemoclips face toward the defect during the approximation of the edges of a defect.

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