RESUMO
BACKGROUND AND AIMS: over-the-scope-clips (OTSC®) 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 (January 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 peptic ulcer and treated with the OTSC® 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 intention-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® clip was an effective and safe rescue therapy for bleeding peptic ulcers.
Assuntos
Hemostase Endoscópica , Úlcera Péptica , Humanos , Hemostase Endoscópica/efeitos adversos , Hemostase Endoscópica/métodos , Estudos Retrospectivos , Endoscopia Gastrointestinal/métodos , Resultado do Tratamento , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/cirurgia , Úlcera Péptica/complicações , Úlcera Péptica/terapia , Instrumentos CirúrgicosAssuntos
Neoplasias das Glândulas Suprarrenais/secundário , Carcinoma Hepatocelular/secundário , Neoplasias Hepáticas/patologia , Neoplasias das Glândulas Suprarrenais/diagnóstico por imagem , Carcinoma Hepatocelular/diagnóstico por imagem , Humanos , Achados Incidentais , Fígado , Neoplasias Hepáticas/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , TransplantadosRESUMO
The growing incidence of cystic pancreatic tumours has become a major problem in daily clinical practice. These patients usually undergo follow-up programmes of questionable clinical efficacy that put significant strain on endoscopy units. Safe and effective alternatives to surgery are desperately needed in these cases. The aim of this study was to critically review the utility of ablative therapies in cystic pancreatic tumours.