Applicability, efficacy, and safety of over-the-scope clips in children

Sharma, Shishu; Barakat, Monique T.; Urs, Arun; Campbell, David I.; Rao, P. V. V. Prasada; Schluckebier, Dominique; Gugig, Roberto; Thomson, Mike

doi:10.1016/j.gie.2021.10.011

Cited by 3 publications

(3 citation statements)

References 29 publications

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“…Use of over-the-scope clips in children has increased substantially for various GI indications; however, the choice to use it largely depends on provider expertise, the size and site of the fistula, and the age and weight of the child. 12 Long-term follow-up was available for 2 children. In case 1, the gastroduodenal fistula was completely healed on follow-up EGD at 1.5 years.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of magnet ingestion and its adverse events in children

Chavan¹,

Bachkaniwala²,

Tadkalkar³

et al. 2022

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Section: Discussionmentioning

confidence: 99%

Endoscopic management of magnet ingestion and its adverse events in children

Chavan¹,

Bachkaniwala²,

Tadkalkar³

et al. 2022

VideoGIE

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“…In the case of anastomotic pathology, efficacy for prevention of rebleeding was 85%, and for fistulae, effective closure was 52% (15). A case series of seven pediatric patients has been reported (16).…”

Section: Over-the-scope Clips (Otsc R )mentioning

confidence: 99%

“…In a recent case series of 30 pediatric patients with gastric bezoars (one trichobezoar and the rest phytobezoars), the majority was removed by endoscopy, using a retrieving net (Roth net), generally requiring multiple passes (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Four patients (13%) required surgery.…”

Section: Gastric Bezoarmentioning

confidence: 99%

Therapeutic Upper Gastrointestinal Endoscopy in Pediatric Gastroenterology

2022

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Over-the-scope clip for closure of persistent gastrocutaneous fistula after gastrostomy tube removal: a multicenter pediatric experience

Corsello,

Antoine,

Sharma

et al. 2024

Surg Endosc

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Background Percutaneous endoscopic gastrostomy is commonly used for enteral nutritional access, but gastrocutaneous fistulae (GCF) may persist after tube removal, posing clinical challenges. The use of endoscopic closure devices, including over-the-scope clips (OTSC), has shown promise in managing non-healing fistulae, although data in the pediatric population are limited. Methods A retrospective multicenter study analyzed pediatric patients who underwent GCF closure following gastrostomy tube removal. Data from seven centers across multiple countries were collected, including patient demographics, procedural details, complications, and outcomes. Closure techniques were compared between OTSC and surgical closure. Results Of 67 pediatric patients included, 21 underwent OTSC closure and 46 had surgical closure. Surgical closure demonstrated a higher success rate (100%) compared to OTSC closure (61.9%, P < 0.001). While procedural duration was shorter for OTSC closure (25 vs. 40 min, P = 0.002), complications, and scar quality were comparable between techniques. A subsequent sub-analysis did not reveal differences based on center experience. Conclusion OTSC closure is feasible and safe in pediatric patients, but surgical closure remains superior in achieving sustained GCF closure, although OTSC offers benefits, such as shorter procedural duration, potentially reducing the duration of general anesthesia exposure. Non-operative approaches, including OTSC, may be a valuable alternative to surgical closure. Graphical abstract

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Applicability, efficacy, and safety of over-the-scope clips in children

Cited by 3 publications

References 29 publications

Endoscopic management of magnet ingestion and its adverse events in children

Endoscopic management of magnet ingestion and its adverse events in children

Therapeutic Upper Gastrointestinal Endoscopy in Pediatric Gastroenterology

Over-the-scope clip for closure of persistent gastrocutaneous fistula after gastrostomy tube removal: a multicenter pediatric experience

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