Over-the-scope-clip (OTSC?) as a rescue treatment for gastrointestinal bleeding secondary to peptic ulcer disease

Background and aims: over-the-scope-clips (OTSC (R)) have been proposed as a rescue treatment for bleeding peptic ulcers. However, their effectiveness has not been evaluated in Spain.Methods: this retrospective and single-center study (Jan-uary 2018-December 2021) assessed the technical success, clinical success and safety of the device within 30 days. All patients with upper gastrointestinal bleeding due to a pep-tic ulcer and treated with the OTSC (R) clip (OVESCO) as a rescue therapy were included in the study.Results: a total of eleven patients were included in the study, nine due to rebleeding and two due to persistent bleeding. Technical success was 81.9 % (9/11, confidence interval [CI] 95 %: 52-95 %). The per-protocol and inten-tion-to-treat clinical success were 88.9 % (8/9, CI 95 %: 57-98 %) and 72.7 % (8/11, CI 95 %: 43-90 %), respectively. No device-related adverse effects were recorded.Conclusion: the OTSC (R) clip was an effective and safe rescue therapy for bleeding peptic ulcers.