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Rev Esp Enferm Dig ; 115(2): 70-74, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-35469413

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 Cirúrgicos
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