BACKGROUND: The Over-The-Scope Clip (OTSC(®)) enables the treatment of patients with gastrointestinal complications such as bleeding, perforations, and fistulas. The aim of this retrospective study was to analyze the therapeutic results of the performed treatments. METHODS: Since April 2006, 50 patients have been treated for different indications with the OTSC clip in our department. Besides hemostasis (n = 27) in the colon and the upper GI tract, the clip has been used for closure of esophageal and gastric perforations and adaptation of covered and free perforations after colonoscopy (n = 11). Furthermore, the OTSC has been used to close fistulas (n = 8) and for preoperative marking (n = 4). RESULTS: The primary treatment was successful in all cases. There were two secondary bleedings that required endoscopic interventions. Closure of iatrogenic perforations of the upper and lower GI tract was successful in all cases. A permanent closure of fistulas could not be achieved in all cases with the OTSC clip. CONCLUSION: The OTSC clip is effective and safe for complicated bleeding and closure of perforations of the gastrointestinal tract. Nevertheless, sufficient closure of chronic fistulas with the OTSC still remains an unsolved problem.
BACKGROUND: The Over-The-Scope Clip (OTSC(®)) enables the treatment of patients with gastrointestinal complications such as bleeding, perforations, and fistulas. The aim of this retrospective study was to analyze the therapeutic results of the performed treatments. METHODS: Since April 2006, 50 patients have been treated for different indications with the OTSC clip in our department. Besides hemostasis (n = 27) in the colon and the upper GI tract, the clip has been used for closure of esophageal and gastric perforations and adaptation of covered and free perforations after colonoscopy (n = 11). Furthermore, the OTSC has been used to close fistulas (n = 8) and for preoperative marking (n = 4). RESULTS: The primary treatment was successful in all cases. There were two secondary bleedings that required endoscopic interventions. Closure of iatrogenic perforations of the upper and lower GI tract was successful in all cases. A permanent closure of fistulas could not be achieved in all cases with the OTSC clip. CONCLUSION: The OTSC clip is effective and safe for complicated bleeding and closure of perforations of the gastrointestinal tract. Nevertheless, sufficient closure of chronic fistulas with the OTSC still remains an unsolved problem.
Authors: Alberto Arezzo; Alessandro Repici; Andreas Kirschniak; Marc O Schurr; Chi-Nghia Ho; Mario Morino Journal: Minim Invasive Ther Allied Technol Date: 2008 Impact factor: 2.442
Authors: Thomas Kratt; Markus Küper; Frank Traub; Chi-Nghia Ho; Marc-Oliver Schurr; Alfred Königsrainer; Frank Alexander Granderath; Andreas Kirschniak Journal: Gastrointest Endosc Date: 2008-11 Impact factor: 9.427
Authors: Daniel von Renteln; Arthur Schmidt; Melina C Vassiliou; Maria Gieselmann; Karel Caca Journal: Gastrointest Endosc Date: 2009-06-25 Impact factor: 9.427
Authors: A Repici; A Arezzo; G De Caro; M Morino; N Pagano; G Rando; F Romeo; G Del Conte; S Danese; A Malesci Journal: Dig Liver Dis Date: 2008-10-18 Impact factor: 4.088
Authors: Anders Meller Donatsky; Luise Andersen; Ole Lerberg Nielsen; Barbara Juliane Holzknecht; Peter Vilmann; Søren Meisner; Lars Nannestad Jørgensen; Jacob Rosenberg Journal: Surg Endosc Date: 2012-01-12 Impact factor: 4.584
Authors: Gennaro Galizia; Vincenzo Napolitano; Paolo Castellano; Margherita Pinto; Anna Zamboli; Pietro Schettino; Michele Orditura; Ferdinando De Vita; Annamaria Auricchio; Andrea Mabilia; Angelo Pezzullo; Eva Lieto Journal: J Gastrointest Surg Date: 2012-03-07 Impact factor: 3.452