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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2011

01-09-2011

The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas

Authors: Andreas Kirschniak, Natalie Subotova, Derek Zieker, Alfred Königsrainer, Thomas Kratt

Published in: Surgical Endoscopy | Issue 9/2011

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Abstract

Background

The Over-The-Scope Clip (OTSC®) enables the treatment of patients with gastrointestinal complications such as bleeding, perforations, and fistulas. The aim of this retrospective study was to analyze the therapeutic results of the performed treatments.

Methods

Since April 2006, 50 patients have been treated for different indications with the OTSC clip in our department. Besides hemostasis (n = 27) in the colon and the upper GI tract, the clip has been used for closure of esophageal and gastric perforations and adaptation of covered and free perforations after colonoscopy (n = 11). Furthermore, the OTSC has been used to close fistulas (n = 8) and for preoperative marking (n = 4).

Results

The primary treatment was successful in all cases. There were two secondary bleedings that required endoscopic interventions. Closure of iatrogenic perforations of the upper and lower GI tract was successful in all cases. A permanent closure of fistulas could not be achieved in all cases with the OTSC clip.

Conclusion

The OTSC clip is effective and safe for complicated bleeding and closure of perforations of the gastrointestinal tract. Nevertheless, sufficient closure of chronic fistulas with the OTSC still remains an unsolved problem.
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Metadata
Title
The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas
Authors
Andreas Kirschniak
Natalie Subotova
Derek Zieker
Alfred Königsrainer
Thomas Kratt
Publication date
01-09-2011
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 9/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-011-1640-2

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