ASGE STAR Certificate Program-Fundamentals of Endoscopic Suturing

March 25, 2023, 7:00 AM - March 26, 2023, 12:30 PM

Course Director(s):
David Loren, MD, FASGE & Monica Saumoy, MD, MS

ASGE IT&T Downers Grove, Illinois & Virtual

Register Now

Endoscopic suturing is defined as the use of a suturing system device to place full-thickness sutures for the purpose of tissue apposition. Endoscopic suturing is a method that allows optimal and secure intraluminal suturing. The rim of the defect is sutured using a transorally delivered needle and suture. This requires advanced technical skill and significant experience in puncturing the mucosa using the needle by optimally grasping the tissue, and tightening the thread via the flexible endoscope. This ASGE STAR program leverages common techniques and devices to perform endoscopic suturing, providing the training needed to become proficient in its clinical use. The procedure is performed for a variety of indications where approximating tissue is desired including: fixation of stents, closure of defects and bariatric applications. 

In person participation, assuming successful passing of knowledge and skill-based competencies, lead to a certificate of completion. Virtual participation is only for enhancing or reinforcing knowledge of clinical applicability in endoscopic practice.

In-person participation in limited to 40 physicians. Secure your spot now!

Participants will be able to:

  1. Identify the indications for suturing and the types of suturing patterns (knowledge).
  2. Demonstrate suturing techniques of the various fundamental suturing patterns (application).
  3. Explain the common challenges that are encountered with the application of endoscopic suturing (analysis).

Course Directors

David Loren, MD, FASGE

Associate Professor, Associate Director, Medical Endoscopy Co-Director, Pancreaticobiliary Section Director, Advanced Endoscopy Fellowship Program

Thomas Jefferson University Hospital

Philadelphia, PA

Monica Saumoy, MD, MS

Penn Medicine, Princeton Health

Philadelphia, PA


Rabindra R. Watson, MD, FASGE

Cedars-Sinai Medical Center

Los Angeles, CA

Pichamol Jirapinyo, MD, FASGE

Brigham and Women’s Hospital/Harvard Medical School

Boston, MA

Anand Kumar, MD

Jefferson Gastroenterology and Hepatology

Philadelphia, PA

Abdul Aziz Aadam, MD

Northwestern University

Chicago, IL

Nikhil Thiruvengadam, MD

Loma Linda University Medical Center

Loma Linda, CA

Joe Triggs, MD,PhD

Fox Chase Cancer Center

Philadelphia, PA

Kaveh Hajifathalian, MD,MPH

Rutgers University Hospital

New York, NY

Aleskey Novikov, MD

University of Florida

Gainesville, FL

Jennifer Phan, MD

USC Keck School of Medicine

Los Angeles, CA

Dennis Yang, MD, FASGE

Center for Interventional Endoscopy

Orlando, FL

March 25, 2023

6:45 AM - 6:55 AM

Welcome & Agenda Review

6:55 AM - 7:05 AM

Review of pre-test and self-directed learning “GI LEAP” key takeaways

7:05 AM - 7:20 AM

Equipment Setup and Mechanics

7:20 AM - 7:30 AM

Transition Time to Bio Skills Lab

7:30 AM - 8:10 AM

Lab for DRY hands-on set up for ALL participants

Bio Skills Lab
8:10 AM - 8:20 AM

Transition Time for Group A and Virtual to Auditorium


For in person participants during hands-on skills training, various techniques will be demonstrated, participants will practice dry model suturing, map out suturing pattern for defect closure, execute suturing pattern and stent fixation. 

Virtual participants will observe each technique with a dedicated faculty member who will demonstrate each technique that in person participants are experiencing integrated with a case study. Live question and answers between virtual participants and dedicated faculty to optimize this experience is strongly encouraged throughout.

8:30 AM - 5:00 PM

Group Sessions

Group A (In Person and Virtual)

8:30 – 9:00 am             
Suture and Stent Fixation

9:00 – 9:30 am              
Fistula and Leaks

9:30 – 10:00 am              
Suturing Closures of Defects and Perforations

10:00 – 10:10 am          
Question and Answer

10:15 – 10:25 am           
Refreshment Break and Exhibits and Rotation

10:25 am – 12:25 pm
Hands-on Training
Bio skills Lab

  1. Interrupted and Running Suture Patterns
  2. Stent fixation

Dry model suturing, map out suture pattern for defect closure, execute suturing pattern, stent fixation

10:30 am – 12:30 pm   
(Virtual) Hands-on Simulated Endoscopic Skills Training Techniques

  1. Interrupted suture patterns
  2. Full Thickness suturing

12:30 – 1:00 pm             
Trouble Shooting Lecture (ALL participants)                       

1:00 – 2:00 pm             
Lunch and Exhibits

2:00 – 2:30 pm              
Full Thickness Suturing Application                           

2:30 – 3:00 pm            
Other Suturing Applications

3:00 – 3:15 pm            
Question & Answer

3:15 – 3:30 pm             
Refreshment Break and Exhibits and Group Rotation

3:30 – 5:00 pm            
Hands-on Training
Bio Skills Lab

  1. Full Thickness Suturing
  2. Trouble Shooting Demos

Ex vivo model, use of helix, common trouble shooting techniques

Group B

8:20 – 10:20 am       
Hands-on Training  
Bio-Skills Lab

  1. Interrupted and Running Suture Patterns
  2. Stent Fixation

Dry model suturing, map out suture pattern for defect closure, execute suturing pattern, stent fixation

10:20 – 10:45 am             
Refreshment Break and Exhibits and Group Rotation

10:45 – 11:15 am           
Suture and Stent Fixation

11:15 – 11:45 am     
Fistula and Leaks                                                                  

11:45 am – 12:15 pm      
Suturing Closures of Defects and Perforations

12:15 – 12:30 pm             
Question & Answer

12:30 – 1:00 pm               
Trouble Shooting Lecture (ALL participants)                       

1:00 – 1:45 pm                 
Lunch and Exhibits

1:50 – 3:20 pm              
Hands-on Training  
Bio Skills Lab

  1. Full Thickness Suturing
  2. Trouble Shooting Demos

Ex vivo model, use of helix, common trouble shooting techniques

3:20 – 3:35 pm               
Refreshment Break and Exhibits and Group Rotation

3:45 – 4:15 pm 
Full Thickness Suturing Application  

4:15 – 4:45 pm               
Other Suturing Applications

4:45 – 5:00 pm
Question & Answer

5:00 – 6:00 pm           

5:00 – 6:00 pm                
Shuttle Drop-off: ASGE IT&T Facility to the Marriott Suites Downers

March 26, 2023

6:30 AM - 10:30 AM

Shuttle Services

The Marriott Suites will provide shuttle services to the ASGE facility beginning at 6:30 AM, 7:30 AM, 8:30 AM, 9:30 AM and 10:30 AM.

Please use your breakfast vouchers on Sunday at the Marriott Suites (7:00–11:00 am). No attendee breakfast will be provided at the IT & T Center on Sunday.

STAR Fundamentals of Endoscopic Suturing Hands-on Assessment

Bio-Skills Lab
7:00 AM - 8:00 AM

Group A

8:00 AM - 9:00 AM

Group B

9:00 AM - 10:00 AM

Group C

10:00 AM - 11:00 AM

Group D

11:00 AM - 12:00 PM

Group E

Cognitive Post-Assessment

Your course participation is not complete until you have taken the online Cognitive Assessment with a score of   80% or better. You will have 30 days after the course to complete the Cognitive Assessment, if not taken within this time frame you may not receive the Certificate of Completion for the STAR Suturing program. You will gain access to the Cognitive Assessment after completing all pre-requisite online course components.

Registration & Accommodations

This course is available both in person and on a virtual basis. In-person participants who successfully complete a knowledge and skills assessment evaluation will receive a certificate of completion, while the virtual option is designed to enhance participants’ endoscopic clinical knowledge.

Allied nurses and assistants are welcome to attend this course with physician participants, but they are required to pay a nominal registration fee (see below).



ASGE Member Physician$3,300 $1,000
Non-Member Physician$3,900 $1,500
ASGE Non-Physician Member (Nurse/Assistant)$80 $80
Non-Physician Non-Member (Nurse/Assistant)$120 $120


If you cannot register for this course online, submit a check that is made payable to:

American Society for Gastrointestinal Endoscopy
P.O. Box 809055, Chicago, IL 60680-9055
Attention: Star Suturing

Hotel Accommodations

In-person participants who require lodging are encouraged to book a room at:

Chicago Marriott Suites Downers Grove
1500 Opus Place, Downers Grove, IL 60515
Phone: 630-852-1500

Group Rate: $121.00 per night
Hotel Cut-Off Date: Friday, March 3, 2023

Book your group rate for event

Cancellation & Refund Policies 

Cancellations must be received by February 25 and will be subject to a $350 administrative fee. Refunds will not be accepted 30 days after a participant has registered for this course. If space is available in a future STAR program course, a $500 fee will be assessed to apply any credit to another course. ASGE has the right to cancel a program at any time at its discretion.

Photography and Video Waiver 

ASGE takes photographs and video during its courses and reproduces them in educational, news or promotional material, whether in print, electronic or other media, including the ASGE website. By participating in this program, you grant ASGE the right to use your name, photograph, and biography for such purposes. All postings become the property of ASGE. Postings may be displayed, distributed, or used by ASGE for any purpose. 

Photography and Video Policy 

Photography at ASGE programs is as a general rule permitted for personal, social, or noncommercial use. However, presenters have the right to request that photographs not be taken, and photography is prohibited in those instances. Attendees taking photos must do so in a nondisruptive manner, so as not to disturb the presenter and other attendees. Flash photography is not permitted at ASGE events. Video recording, live audio, video streaming, and recording for commercial use is prohibited at ASGE events. Failure to comply with these policies will result in an attendee’s removal from an ASGE program without having their registration refunded. 

Continuing Medical Education

The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ASGE designates this blended learning activity for a maximum of 26.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Maintenance of Certification

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 26.25 Medical Knowledge and Practice Assessment MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

You will be prompted to enter your ABIM ID number and your date of birth (MM/DD) this information will be shared on the ACCME PARS system and automatically sent to ABIM on your behalf. Please allow up to 24 hours to appear on your ABIM profile.

ASGE Assurance to High-Level Scientific Evidence and Adherence to Neutrality

ASGE is committed to you, our learners. We are committed to assuring the highest level of scientific rigor, research-based evidence and practicality to clinical use is conveyed throughout this educational activity. The members who designed this educational activity were carefully selected for their content expertise, teaching excellence and neutrality on the topic(s) being presented. ASGE requires all subject matter experts, committee members and staff planners who are in a position to control any aspect of content to disclose all relevant financial relationships with any ineligible companies. ACCME defines an ineligible company as those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Financial relationships in any amount are considered a potential conflict of interest with ineligible companies and are peer-reviewed and resolved by mitigation methods used by the ASGE prior to the planning of this program. All planner, faculty and staff disclosures are available in course materials prior to the start of the program and verbally acknowledged by each presenter prior to the start of their educational materials and/or presentation. Any potential conflicts of interest regarding this educational activity were addressed and mitigated in accordance with ACCME guidelines.

HIPAA Accountability

ASGE makes every effort to not include individually identifiable health information in this educational activity. To protect patient privacy, faculty are requested to de-identify patient related material in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

ASGE Outcome-Based Education Level

ASGE STAR Suturing is designed to meet ASGE’s Outcome Level 3b “Learning- procedural knowledge: includes pre and post-tests, case-based assessments” on an anticipated outcome-based education (OBE) scale. ASGE’s OBE means starting with a clear picture of what is important for participants to gain from the educational activity to be able to do following participation, then organizing the program, instruction and objectives to make sure the anticipated educational delivery ultimately.

Educational Attributes

This ASGE educational program addresses the following desirable physician attributes that align with ACGME/ABMS Competencies, Institute of Medicine Competencies and/or Interprofessional Education Collaborative Competencies: a) Medical Knowledge; b) Practice-Based Learning and Improvement; c) Provide Patient-Centered Care; and d) Employ Evidence-Based Practice.

ASGE’s Commitment to Our Learners

ASGE’s continuing medical education program consists of a diversified educational portfolio. Each educational activity serves to maintain, develop, or increase our learner’s knowledge, skill, and professional performance. It is our intention that you will be able to transfer this learning to the provision of services for your patients, the public and the endoscopy profession. Content developed for this educational activity is based upon a body of knowledge and skills generally recognized and accepted by the GI profession and ASGE’s standards of practice, the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public.

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