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

被引：1
作者：
Arenas, David Villaescusa [1 ]
de Santiago, Enrique Rodriguez [1 ]
Gandia, Miguel Angel Rodriguez [1 ]
Carbonell, Sofia Parejo [1 ]
Garcia, Beatriz Penas [1 ]
Garcia, Antonio Guerrero [1 ]
Olcina, Jose Ramon Foruny [1 ]
de Paredes, Ana Garcia Garcia [1 ]
Martin, Juan Angel Gonzalez [1 ]
Sequeiros, Enrique Vazquez [1 ]
Martinez, Agustin Albillos [1 ]
机构：
[1] Univ Alcala, Hosp Univ Ramon & Cajal, Inst Ramon & Cajal Invest Sanitaria IRYCIS, Ctr Invest Biomed Red CIBEREHD,Gastroenterol & He, Madrid, Spain
来源：
REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS | 2023年 / 115卷 / 02期
关键词：
Gastrointestinal hemorrhage; Peptic ulcer; Peptic ulcer hemorrhage; Over-the-scope-clip; Rebleeding; MANAGEMENT; ENDOSCOPY; GUIDELINE;
D O I：
10.17235/reed.2022.8722/2022
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
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.
引用
收藏
页码：70 / 74
页数：5
相关论文
共 50 条
  • [41] Endoscopic management of iatrogenic gastrointestinal defects with the over-the-scope clip (OTSC) system: an updated systematic review
    Zhong, Chunyu
    Tan, Shali
    Ren, Yutang
    Luo, Xujuan
    Xu, Jin
    Fu, Xiangsheng
    Peng, Yan
    Tang, Xiaowei
    MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES, 2021, 30 (02) : 63 - 71
  • [42] OVER-THE-SCOPE CLIP (OTSC) FOR TREATMENT OF LEAKS FOLLOWING LAPAROSCOPIC SLEEVE GASTRECTOMY.
    Villagran, R.
    Smith, Gabriela
    Flores, Carlos
    Cariaga, Mario
    Araya, Sofia
    Yanez, Marisol
    Fuentes, Paulina
    Linares, Jeanette
    Valenzuela, Amanda
    Javiera, Valdivieso
    OBESITY SURGERY, 2016, 26 : S445 - S446
  • [43] Management of upper gastrointestinal bleeding due to peptic ulcer disease.
    Olmos, LRD
    Fugarolas, GM
    Sabrido, JLG
    Armengol, JAR
    Alvarez, JG
    Otero, RM
    REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS, 1996, 88 (11) : 785 - 798
  • [44] Over-The-Scope Clip system as a first-line therapy for high-risk bleeding peptic ulcers: a retrospective study
    Robles-Medranda, Carlos
    Oleas, Roberto
    Alcivar-Vasquez, Juan
    Puga-Tejada, Miguel
    Baquerizo-Burgos, Jorge
    Pitanga-Lukashok, Hannah
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2021, 35 (05): : 2198 - 2205
  • [45] Endoscopic management of gastro-bronchial fistula following two-stage esophagectomy using over-the-scope-clip (OTSC): Case series
    Tan, Chih Y.
    Kyaw, Htet A.
    Farhangmehr, Neda
    Tang, Cheuk-Bong
    Jayanthi, Naga V.
    ADVANCES IN DIGESTIVE MEDICINE, 2021, 8 (02) : 84 - 90
  • [46] Over-the-scope clips are cost-effective in recurrent peptic ulcer bleeding
    Kuellmer, Armin
    Behn, Juliane
    Meier, Benjamin
    Wannhoff, Andreas
    Bettinger, Dominik
    Thimme, Robert
    Caca, Karel
    Schmidt, Arthur
    UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, 2019, 7 (09) : 1226 - 1233
  • [47] Randomized Controlled Trial of Over-the-Scope Clip as Initial Treatment of Severe Nonvariceal Upper Gastrointestinal Bleeding
    Jensen, Dennis M.
    Kovacs, Thomas
    Ghassemi, Kevin A.
    Kaneshiro, Marc
    Gornbein, Jeffrey
    CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2021, 19 (11) : 2315 - +
  • [48] Treatment of a duodenal-caval fistula secondary to peptic ulcer disease
    Koh, Ezra Y.
    McFall, Ross G.
    Upadhyaya, Raghave
    Chun, Young
    Rahimi, Maham
    JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES, 2022, 8 (03): : 396 - 398
  • [49] Effects of early oral feeding on relapse and symptoms of upper gastrointestinal bleeding in peptic ulcer disease
    Khoshbaten, Manouchehr
    Ghaffarifar, Saeideh
    Imani, Afshin Jabbar
    Shahnazi, Tahere
    DIGESTIVE ENDOSCOPY, 2013, 25 (02) : 125 - 129
  • [50] Over-the-Scope Clip to the Rescue! A Novel Tool for Refractory Acute Nonvariceal Upper Gastrointestinal Hemorrhage
    Amarnath, Shivantha
    Philipose, Jobin
    Abergel, Jeffrey
    Khan, Hafiz
    CASE REPORTS IN GASTROENTEROLOGY, 2020, 14 (02) : 261 - 270
12345