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

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 endoloop1,2 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. This article is protected by copyright. All rights reserved.