THE OVER-THE-SCOPE-CLIP FOR THE TREATMENT OF THE DIGESTIVE TUBE LEAKS AND TEARS: A CASE-SERIES. / LIJECENJE OSTECENJA PROBAVNE CIJEVI PRIMJENOM ENDOSKOPSKE STEZALJKE: PRIKAZ SERIJE BOLESNIKA.
Lijec Vjesn
; 138(3-4): 79-84, 2016.
Article
em En, Hr
| MEDLINE
| ID: mdl-30146853
ABSTRACT
Digestive tube damages represent a therapeutic challenge for the gastrointestinal endoscopists. Recenty, a novel device the-over-the-scope clip (OTSC) has been introduced for non-surgical treatment of gastrointestinal perforations, ï¬ stula, anastomotic leaks and refractory gastrointestinal bleeds. This study aimed to evaluate the therapeutic efï¬ cacy of OTSC in our case series. A total of nine patients were included (six males, medain age 72 years, range 58-86). The indications were upper gastrointestinal bleeding (refractory to standard endoscopic treatment ï¬ ve patients, a vessel with a large caliber one patient), ï¬ stula in two patients, and iatrogenic perforation of the sigmoid colon in one patient. Atraumatic and traumatic versions of OTSCs with twin graspers were used. All of the patients were treated with only one OTSC, and none of the patients required additional endoscopic treatment. The OTSC procedure had 100% technical success. In a subgroup of patients with perforation and ï¬ stulae, the clinical success was 67%, whereas in those with the bleedings it was 50%. The median follow-up was 34 days (range 3-452). OTSC is a safe and effective device for closure of perforations and leaks. However therapeutic efï¬ cacy was subopimal in patients with the upper gastrointestinal bleedings possibly due to the application of the sharp-teeth OTSC.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Ruptura Gástrica
/
Instrumentos Cirúrgicos
/
Endoscopia Gastrointestinal
/
Técnicas de Fechamento de Ferimentos
/
Hemorragia Gastrointestinal
/
Perfuração Intestinal
Idioma:
En
/
Hr
Ano de publicação:
2016
Tipo de documento:
Article