Conventional clips vs over-the-scope-clips for the closure of the entry site in POEM and G-POEM procedures
Rev. esp. enferm. dig
; 112(5): 338-342, mayo 2020. tab, ilus
Article
in En
| IBECS
| ID: ibc-195586
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
BACKGROUND: new alternatives for entry site closure (ESC) in per-oral endoscopy myotomy (POEM) and gastric peroral endoscopy myotomy (G-POEM) have appeared. OBJECTIVE: to compare the over-the-scope-clip (OTSC®) and conventional clips (CC) for ESC in POEM and G-POEM. MATERIAL AND METHODS: a retrospective review of a prospective POEM and G-POEM database was performed between January 2015 and August 2019. A description was made of outcomes, using either OTSC® or CC for submucosal tunnel closure. RESULTS: forty-six POEM and 26 G-POEM were included in the study (23/13 per group [CC/OTSC®]). There were no clinical or procedure differences. ESC was performed with 1 OTSC® vs 5 CC and 1 vs 6 (p = 0.01) for POEM and G-POEM, respectively. Adverse events associated with clips were 21.7% vs 13% (p = 0.01) and 7.7% vs 0% (p = 0.02) for CC and OTSC® in POEM and G-POEM, respectively. CONCLUSION: OTSC® represents a safe and effective alternative for entry site closure in POEM and G-POEM cases. Further studies are needed to recommend OTSC® as the first option for submucosal tunnel closure in these procedures
RESUMEN
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Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Esophageal Achalasia
/
Esophagoscopy
/
Pyloromyotomy
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Rev. esp. enferm. dig
Year:
2020
Document type:
Article