Endoscopic Management of Gastrointestinal Wall Defects, Fistulas Closure, and Stent Fixation Using Through-the-scope Tack and Suture System (with video).

The use of TTTS is an effective and safe method for the closure of large GI defects and can be utilized for fistula closure and stent fixation. TTSS is a valuable addition to the armamentarium of endoscopic closure devices.