在内镜全层切除术（EFTR）后，可靠地修复穿孔至关重要。然而，仅使用金属夹子或针针缝合来修复一些缺陷在技术上是困难的，可能导致修复不可靠。受手术缝合切口两端的拉紧过程启发，我们开发了一种新的内镜闭合技术，名为“悬吊闭合技术”。本研究作为对这种新的内镜闭合技术的可行性和安全性的初步评估进行。回顾性研究了使用该悬吊闭合技术来闭合EFTR后的全层缺损的患者的数据。主要结果是闭合成功率。次要结果包括闭合时间，术后住院时间和术后并发症的发生率。还分析了缺陷大小和肿瘤特征。包括经EFTR后使用悬吊闭合技术的8名患者。所有患者均成功接受了悬吊闭合技术治疗，没有患者发生严重并发症。缺损的中位长度为3.25厘米（范围2.5-9.0厘米），中位宽度为2.8厘米（范围1.8-6.0厘米）。中位闭合时间为13分钟（范围6-24分钟）。悬吊闭合技术是一种简单、可靠、易于使用的用于内镜切除后大范围全层缺损的技术。版权所有© 2023年美国胃肠内镜学会。Elsevier Inc.出版。保留所有权利。

After endoscopic full-thickness resection (EFTR), reliable closure of the perforation is critical. However, it is technically difficult to close some defects by using metal clips alone or by purse-string suturing, which may lead to unreliable closure. Inspired by the process of pulling up the two ends of the incision in the surgical suture, we developed a new endoscopic closure technique, which we named the "suspended closure technique". This pilot study was performed as an initial evaluation of the feasibility and safety of this new endoscopic closure technique.Data from patients in whom this suspended closure technique was used to close full-thickness defects following EFTR were retrospectively reviewed. The primary outcome was the successful closure rate. Secondary outcomes included closure time, length of postprocedural hospital stay, and incidence of postprocedural complications. Defect size and tumor characteristics were also analyzed.Eight patients who underwent the suspended closure technique following EFTR were included. All patients were successfully treated with the suspended closure technique, and no patient developed serious complications. The median length of the defect was 3.25 cm (range 2.5-9.0 cm) and the median width was 2.8 cm (range 1.8-6.0 cm). The median closing time was 13 min (range 6-24 min).The suspended closure technique is a simple, reliable, and easy-to-use technique for large full-thickness defects following endoscopic resection.Copyright © 2023 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.