Efficacy and safety of over-the-scope clip: Including complications after endoscopic submucosal dissection

Nishiyama, Noriko; Mori, Hideki; Kobara, Hideki; Rafiq, Kazi; Fujihara, Shintaro; Kobayashi, Mitsuyoshi; Oryu, Makoto; Masaki, Tsutomu

doi:10.3748/wjg.v19.i18.2752

Cited by 134 publications

(78 citation statements)

References 34 publications

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“…Use of other devices for successful closure of ESD-associated perforations including over-the-scope clip(s) has also been reported. 81 High rates of successful clip closure and conservative management of colorectal ESD perforations have also been reported. In a large series of 816 ESD resections of colorectal lesions, 16 perforations occurred (2%), 14 of which were managed nonoperatively and 2 (0.2%) which required urgent surgery.…”

Section: Perforationmentioning

confidence: 95%

Endoscopic submucosal dissection

Maple¹,

Dayyeh²,

Chauhan³

et al. 2015

Gastrointestinal Endoscopy

214

115

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Section: Perforationmentioning

confidence: 95%

Endoscopic submucosal dissection

Maple¹,

Dayyeh²,

Chauhan³

et al. 2015

Gastrointestinal Endoscopy

214

115

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“…These clips seem to be uniquely suited for closure of larger perforations (1.5-2.0 cms) and also in prophylaxis against delayed perforation [68,77,78]. OTSC remains an important tool because early but small series have shown a higher rate of perforation (20-35%) for ESD of lesions in the duodenum compared to other sites [79,80].…”

Section: Techniques Of Closure Clipsmentioning

confidence: 97%

Endoscopic “rescue” treatment for gastrointestinal perforations, anastomotic dehiscence and fistula

Dabizzi

Ceglie²,

Baig

et al. 2016

Clinics and Research in Hepatology and Gastroenterology

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“…CO 2 is highly recommended for insufflation during esophageal ESD. Over-the-scope clip (OTSC) system (Ovesco, Germany), which is delivered over the scope can provide better tissue capture compared to conventional clips (51).…”

Section: Outcomes Of Esdmentioning

confidence: 99%

Endoscopic submucosal dissection and endoscopic mucosal resection for early stage esophageal cancer

Niu¹,

Abdelfatah²,

Othman³

2017

Ann. Cardiothorac. Surg.

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Mortality from esophageal cancer remains high despite advances in medical therapy. Although the incidence of squamous cell carcinoma of the esophagus remains unchanged, the incidence of the esophageal adenocarcinoma has increased over time. Gastroesophageal reflux disease (GERD and obesity are contributing factors to the development of Barrett's esophagus and subsequent development of adenocarcinoma. Early recognition of the disease can lead to resection of esophageal cancer prior to the development of lymphovascular invasion. Various modalities have been implemented to aid identification of precancerous lesions and early esophageal cancer. Chromoendoscopy, narrowband imaging and endoscopic ultrasound examination are typically used for evaluating early esophageal lesions. Recently, confocal laser endomicroscopy (CLE) and volumetric laser scanning were implemented with promising results. Endoscopic management of early esophageal cancer may be done using endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD). Both techniques allow resection of the mucosa (and possibly a portion of the submucosa) containing the early tumor without interruption of deeper layers. A submucosal injection creating a cushion coupled with snare resection or cap assisted mucosal suction followed by ligation and snare resection are the most common techniques of EMR. EMR can remove lesions less than 2 cm in size en bloc. Larger lesions may require resection in piecemeal fashion. This may limit assessment of the margins of the lesion and orienting the lesion's border. ESD offers en bloc dissection of the lesion regardless of its size. ESD is performed with specialized needle knives, which allow incision followed by careful dissection of the lesion within the submucosal layer. Tumor recurrence after ESD is rare but the technique is labor intensive and has an increased risk of perforation. Esophageal stenosis remains a concern after extensive EMR or ESD. Dilation with balloon or stent placement is usually sufficient to treat post-resection stenosis.

show abstract

Efficacy and safety of over-the-scope clip: Including complications after endoscopic submucosal dissection

Abstract: The OTSC is effective for treating GI bleeding, fistulae as well as perforations, and the OTSC technique proofed effective treatment for perforation after ESD.

Cited by 134 publications

References 34 publications

Endoscopic submucosal dissection

Endoscopic submucosal dissection

Endoscopic “rescue” treatment for gastrointestinal perforations, anastomotic dehiscence and fistula

Endoscopic submucosal dissection and endoscopic mucosal resection for early stage esophageal cancer

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