The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas
The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas
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DOI：
10.1007/s00464-011-1640-2
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发表时间：
2011-09-01
影响因子：
3.1
通讯作者：
Kratt, Thomas
中科院分区：
文献类型：
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作者：
Kirschniak, Andreas;Subotova, Natalie;Kratt, Thomas
超镜夹（OTSCA (R)）可以治疗胃肠道并发症，如出血、穿孔和瘘管。本回顾性研究的目的是分析所进行治疗的治疗效果。自2006年4月以来，我科共收治不同适应症患者50例。除了结肠和上消化道的止血（n = 27）外，该夹还用于食管和胃穿孔的闭合以及结肠镜检查后覆盖穿孔和游离穿孔的适应（n = 11）。此外，OTSC已用于闭合瘘管（n = 8）和术前标记（n = 4）。所有病例的初步治疗均成功。有两个继发性出血需要内窥镜干预。所有病例医源性上、下消化道穿孔均成功闭合。在所有病例中，OTSC夹都不能实现瘘管的永久闭合。OTSC夹对于复杂的出血和胃肠道穿孔的闭合是有效和安全的。然而，用OTSC充分闭合慢性瘘管仍然是一个未解决的问题。
The Over-The-Scope Clip (OTSCA (R)) 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.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).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.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.