Hospital management of colonic perforations complicating ambulatory outpatient colonoscopy via over-the-scope clips or surgery: a case series

Daher, Saleh; Khoury, Tawfik; Benson, Ari; Tsvang, Eduard; Elazary, Ram; Jacob, Harold

doi:10.1007/s10151-019-02045-3

Cited by 1 publication

(1 citation statement)

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“…The over-the-scope clip (OTSC) system (Ovesco Endoscopy AG, Tübingen, Germany) is a novel endoscopic device that can be used to manage leaks and fistulas, [ 6 , 7 ] remove submucosal tumors, [ 8 ] and close perforations. [ 9 ] In addition, the efficacy of this system in treating high-risk gastrointestinal bleeding has been widely reported. [ 10 , 11 ] We used the OTSC system to successfully achieve hemostasis in a patient who was still bleeding from a lesion after surgical and interventional treatments.…”

Section: Introductionmentioning

confidence: 99%

Use of over-the-scope clip for ulcer hemostasis after failure of both surgery and interventional therapy

Lai

Peng²,

Guo³

et al. 2020

Medicine

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Rationale: Non-variceal gastrointestinal bleeding is a common critical disease worldwide, and according to relevant guidelines, surgery and interventional treatment are the final therapies. However, few studies have reported on therapeutic strategies to employ when the ultimate treatment fails. This report offers a reasonable option for hemostasis after surgery and interventional treatment both fail. Patient concerns: A 47-year-old man with recurrent bleeding had undergone endoscopy, surgery, and interventional therapy; however, effective hemostasis was not achieved. Diagnosis: This patient's clinical manifestations and typical gastroscopic findings confirmed duodenal bulb ulcer with hemorrhage Interventions: A Billroth II + Bancroft operation, interventional treatment, and endoscopic hemostasis with an over-the-scope clip (OTSC) system were administered. Outcomes: The bleeding was successfully controlled, and the patient remained well during long-term follow-up. Lessons: The OTSC system can represent a reasonable option for ulcer hemostasis after surgery when other interventional therapies have failed.

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