Use of a biliary guidewire to assist placement of two over-the-scope clips for deep ulcer bleeding while preventing duodenal closure

Abstract

E-Videos Video 1Final view of the deep prepyloric ulcer site after placement of second OTSC (12/6t). ▶ Fig. 1 A large and deep prepyloric ulcer with tightly adherent clot was present. The ulcer was compressing the pyloric channel. Martínez-Alcalá García Álvaro et al. Use of a biliary guidewire … Endoscopy |

Continuation of common bile duct clearance with gallbladder stenting after duodenal perforation with subsequent treatment for tension pneumoperitoneum and pneumothorax

“…Perforation closure was attempted with preceding guidewire insertion into the downstream duodenal lumen (▶ Fig. 1) to prevent accidental luminal closure [2]. The first traumatic type over-the-scope clip (OTSC, 12/6t; Ovesco) was deployed by suction on the lacerating tissue at the caudal side of the defect (▶ Fig.…”