Use of an over-the-scope clipping device: multicenter retrospective results of the first U.S. experience (with videos)

Baron, Todd H.; Song, Louis M. Wong Kee; Ross, Andrew; Tokar, Jeffrey L.; Irani, Shayan; Kozarek, Richard A.

doi:10.1016/j.gie.2012.03.250

Cited by 164 publications

(116 citation statements)

References 37 publications

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“…In case of misplacement, removal of the clip can be challenging. Baron et al described the use of argon plasma coagulation (APC) for cutting the clip [19]. Arezzo et al reported on the use of cold saline solution for clip releasing and consequent easy removal [20].…”

Section: Discussionmentioning

confidence: 99%

Over-the-scope endoclipping for foregut leaks and perforations

et al. 2014

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Background Foregut leaks and perforations continue to account for high morbidity and mortality rates. Novel endoscopic techniques have recently changed the approach to the management of these complications. The purpose of this study was to evaluate the efficacy and safety of the Over-The-Scope Clipping system (OTSC) in a consecutive series of patients presenting with foregut leaks and perforations.Patients and methods We retrospectively reviewed the charts of seven consecutive patients treated between November 2010 and December 2013 in our tertiary care hospital. A parallel review of the literature was made including only patients treated with OTSC after upper gastrointestinal surgery.Results The median time between surgery and OTSC clipping was 18.4 days (range 7-53), and the median size of the defect was 6 mm (range 2-10). The overall OTSC success rate was 85.7 %. In 6 patients, 3 of whom had a chronic leak, the OTSC was successfully used as first-line treatment. The literature review showed that the overall success rate of the OTSC procedure was 66.7 % in esophageal defects and 80 % in gastric defects. Conclusions The OTSC system is a simple and safe method for the management of postoperative foregut leaks and perforations, resulting in complete and durable closure of small (< 1 cm) visceral defects. Use of the OTSC system, along with drainage of perivisceral collections, may represent a safe alternative to stents in selected patients.

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Section: Discussionmentioning

confidence: 99%

Over-the-scope endoclipping for foregut leaks and perforations

et al. 2014

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“…Based on our search on Pubmed, there are nine published case reports or case series with a total of 36 patients with gastrointestinal perforation in the literature (Table 1). Most of them (24 patients) were related to colon (9,16,18,(20)(21)(22). Six perforations were located in the stomach (15,16,18,21), two perforations were in the esophagus (17,21), and one perforation -in the jejunum (21).…”

Section: Discussionmentioning

confidence: 99%

“…Most of them (24 patients) were related to colon (9,16,18,(20)(21)(22). Six perforations were located in the stomach (15,16,18,21), two perforations were in the esophagus (17,21), and one perforation -in the jejunum (21). Only three perforations were related to duodenum (16,19), two of them (2/3 patients) being acute duodenal ulcer perforation (16).…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic closure of an endoscope-related duodenal perforation using the over-the-scope clip

Doğan¹,

Keskın²,

Söker³

et al. 2013

Turk J Gastroenterol

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“…60 When focusing on the closure of iatrogenic gastric perforation, the overall success rate was 93%. 53,[60][61][62][63][64][65][66][67][68][69] EBL has been reported as an effective closure for gastric perforation with the size of 10, 15, and 20 mm in porcine model. Numbers of band used for closure were 2, 3, and 6 bands depending on the size of defect.…”

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confidence: 99%

Endoscopic closure of iatrogenic perforation

Angsuwatcharakon

Rerknimitr

2016

Int J Gastrointest Interv

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A B S T R A C TIatrogenic perforation of the gastrointestinal (GI) tract is one of the serious complications in GI endoscopy. With the advancement in technique of GI endoscopy especially therapeutic endoscopy, the risk of perforation has increased. Prompt detection is the only way to avoid delay treatment and poor outcome. Recently, there are new instruments and techniques developed that can be reliably applied for an endoscopic closure without the need for surgery. Therefore, endoscopists should be familiar with these instruments as the result of successful endoscopic closure has lower rate of morbidity than surgery. In this review, the techniques of endoscopic closure are described according to the organs of perforation. In addition, the general knowledge and management of perforation in other aspects including tension pneumothorax, abdominal compartment syndrome, or infection induced by contamination of GI content are explained.

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Use of an over-the-scope clipping device: multicenter retrospective results of the first U.S. experience (with videos)

Cited by 164 publications

References 37 publications

Over-the-scope endoclipping for foregut leaks and perforations

Over-the-scope endoclipping for foregut leaks and perforations

Endoscopic closure of an endoscope-related duodenal perforation using the over-the-scope clip

Endoscopic closure of iatrogenic perforation

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