Percutaneous intragastric approach for endoscopic hand suturing of the defect after resection of a submucosal gastric tumor

The role of endoscopic resection in the management of subepithelial lesions (SELs) of the stomach is expanding [1]. The complexity of the procedure depends on the tumor's location, size, and depth of invasion. Lesions situated in the subcardia present distinct technical challenges, particularly with respect to closure of the resulting wall defect [2]. Endoscopic hand suturing (EHS) has been demonstrated to be a feasible technique for closure of various defects following endoscopic interventions [3]. In this report we present a novel method of percutaneous intragastric EHS (PI-EHS) for managing defects in the gastric subcardia.