James D. Haddad, MD, FACP
James D. Haddad, MD, FACP

@JamesHaddadMD

3 Tweets 5 reads Apr 25, 2022
@ScopingSundays @KhushbooSGala @TomTielleman @tareksawas @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @SanchezLunaMD @vaibhav_manu @rmulkimd @NnekaUfereMD @LizzieAbyMD @DrMalSimons @JacquelineChuMD In our first case, the decision was made to perform endoscopic #suturing:
✅Defects of nearly any size & shape
✅Full-thickness closure
✅Excellent approximation & control of closure tension
❌Requires operator expertise
❌Limited to short scopes
❌Difficult in tight areas
@ScopingSundays @KhushbooSGala @TomTielleman @tareksawas @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @SanchezLunaMD @vaibhav_manu @rmulkimd @NnekaUfereMD @LizzieAbyMD @DrMalSimons @JacquelineChuMD @AasmaShaukatMD @jalpa_devi @DoctorVenni_MD @KM_Pawlak @SyedGerdezi @JJFordeMD @jivargasd @ReemSharaiha Sutures🪡can be applied in various patterns (interrupted, continuous, figure-of-8).
Single endoscopist (n=20):
⏲️Similar procedure time
💪Similar burst pressure (all >30mmHg)
🧵Interrupted = more sutures used
💦Figure-of-8 85% leakproof >30mmHg, ~50% for others
#ScopingSundays

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