“Hemodynamic Efficacy” of two Endoscopic Clip Devices Used in the Treatment of Bleeding Vessels, Tested in an Experimental Setting Using the Compact Erlangen Active Simulator for Interventional Endoscopy (compactEASIE) Training Model

Percutaneous Endoscopic Jejunostomy and Jejunal Extension Tube through Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis of Success, Complications and Outcome

“…Furthermore, according to other studies investigating the impact of the experience of endoscopists, we were able to show that inexperienced examiners have a lower success rate. Several clinical trials in endoscopy have shown that experience in terms of numbers and frequency of endoscopic interventions determines the clinical outcome such as ERCP [13], sphincterotomy [14], or application of hemoclips [15] – all appear to share this observation. Additionally, we were able to show that even in the case of an unsuccessful puncture a second approach is worthwhile, producing similar success rates of up to 60%.…”

Hemodynamic efficacy of the over-the-scope clip in an established porcine cadaveric model for spurting bleeding

“…[7][8][9] Experimental setup (Figure 1) As in our previous studies, we used ex vivo porcine stomachs for upper GI bleeding with 4 bleeding sites per stomach (2 at the proximal section and 2 at the distal section of the anterior wall of the corpus). Each vessel had a diameter of 2 to 3 mm.…”

“…To ensure consistent quality, the specimens were preassembled by an experienced technician who had prepared more than 5000 models in the past 12 years. [7][8][9] Two investigators of differing endoscopic experience who had participated in our previous trials were enrolled in this study. Investigator 1 had performed more than 10,000 endoscopies and investigator 2 more than 4000 endoscopies.…”

“…The peak pressure was defined as the pressure 3 seconds after clip application, comparable to our previous trials. 8,9 As endoscopic equipment, an Olympus Excera 160 video processor with an Olympus Excera light source and an Olympus GIF Q 160 video endoscope (Olympus Europe, Hamburg, Germany) dedicated for animal use were used for the experiments.…”

“…8,9 Take-home Message • The application of the over-the-scope clip (OTSC) significantly decreases the vessel diameter and can compress the vessel more effectively than traditional through-the-scope clips. • The application of the OTSC is less dependent on the endoscopic experience of the investigator than throughthe-scope clips.…”