Endoscopic management of digestive leaks with the Over-The-Scope Clip: A retrospective study

Correia, Tito; Amaro, Pedro; Oliveira, Ana Catarina Lima de; Fernandes, Alexandra; Branquinho, Diogo; Nunes, Ana Bela; Portela, Francisco; Sofia, Carlos

doi:10.1016/j.jpg.2014.03.003

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…The vast majority of literature refers to the use of the OTSC to achieve hemostasis in ulcers, bleeding after endoscopic mucosal resection and endoscopic submucosal dissection, and closure of perforations, fistulas, and mucosal defects. 6–12 Although the use of OTSC was described by Sharma et al in acute esophageal variceal hemorrhage, to our knowledge, this is the first case to be reported of using an OTSC to achieve rectal varix hemostasis after resection of previous bands using hot snare coagulation was achieved successfully. 13…”

Section: Discussionmentioning

confidence: 76%

Alternative Treatment of a Bleeding Rectal Varix Using an Over-the-Scope Clip

2019

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Section: Discussionmentioning

confidence: 76%

Alternative Treatment of a Bleeding Rectal Varix Using an Over-the-Scope Clip

2019

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Clinical efficacy of the over-the-scope clip device: A systematic review

Bartell¹,

Bittner²,

Kaul³

et al. 2020

WJG

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Over-the-Scope Clip Closure of an Esophageal-Pleural Fistula Secondary to Esophageal Stent Placement: A Case Report

Chuang¹,

Luke²,

Patel³

et al. 2021

Cureus

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An esophageal fistula is a pathological connection between the esophagus and another structure. The most common treatment for an esophageal fistula is airway stenting. However, several case series have demonstrated the superiority of the over-the-scope clip (OTSC) system for fistula closure. We report a case requiring multiple stent/OTSC placements in an esophageal-pleural fistula (EPF) due to underlying malignancy. A 57-year-old male with stage IV esophageal cancer with an esophageal stent presented with three days of back pain and shortness of breath. A gastrografin was performed and showed a fistula at the proximal aspect of the pre-existing esophageal stent. A self-expandable metallic stent (SEMS) was utilized to bridge the fistula to the pre-existing esophageal stent. An esophagram two days later revealed extravasation and continuous esophageal leak. OTSC was then deployed at the fistula. A SEMS was also implanted through the patient’s pre-existing stent. Endoscopy showed persistent esophageal perforation. The initial OTSC and SEMS combination was removed. After removal, a second OTSC was placed over the fistula, allowing for complete suction of the fistula into the OTSC clip cap. We followed this by deploying another SEMS through the pre-existing stent and clipping them together. The proximal end of this new stent fully covered the fistula, creating a complete seal. This case is notable in that successful EPF closure secondary to existing esophageal stent erosion was achieved by utilizing a properly positioned OTSC with stent-within-stent combination management.

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Endoscopic management of digestive leaks with the Over-The-Scope Clip: A retrospective study

Cited by 3 publications

References 26 publications

Alternative Treatment of a Bleeding Rectal Varix Using an Over-the-Scope Clip

Alternative Treatment of a Bleeding Rectal Varix Using an Over-the-Scope Clip

Clinical efficacy of the over-the-scope clip device: A systematic review

Over-the-Scope Clip Closure of an Esophageal-Pleural Fistula Secondary to Esophageal Stent Placement: A Case Report

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