Over-the-scope clip (OTSC) reduces surgery rate in the management of iatrogenic gastrointestinal perforations

Endoscopy International Open
Sherine KhaterChristophe Cellier

Abstract

Background and study aims Over-the-scope clip (OTSC) has been recently used in management of gastrointestinal perforations, but data on it are still limited. The aim of this study was to compare management of iatrogenic perforations before and after the OTSC was available in our endoscopy unit. Patients and methods We conducted a monocentric retrospective study from June 2007 to June 2015. All iatrogenic gastrointestinal perforations detected during endoscopy were included. Two time periods were compared in terms of surgery and mortality rates: before use of OTSC (June 2007 to June 2011) and after OTSC became available (June 2011 to June 2015). Results During the first period, 24 perforations were recorded. Fifteen (62.5 %) were managed with surgery. The mortality rate was 8 %. During the second period, 16 perforations occurred. In 11 patients (68.7 %), an OTSC was used to close the perforation, with complete sealing of the perforation in 100 % of cases. However, 2 patients with sigmoid perforation had to undergo surgery due to right ureteral obstruction by the clip in 1 case and to presence of a localized peritonitis in the other. The surgery rate during this period was 12.5 % (2 /16), with a statistically significant differen...Continue Reading

Citations

Aug 3, 2018·Journal of Gastroenterology and Hepatology·Hideki KobaraTsutomu Masaki
Jul 19, 2019·Journal of Gastroenterology and Hepatology·Zhi-Jie WangDong Wang
Jul 14, 2020·Expert Review of Gastroenterology & Hepatology·Shria KumarJeffrey H Lee
Aug 18, 2018·Journal of Investigative Medicine High Impact Case Reports·Samson FermSyed Ahsan Hussain
Oct 31, 2019·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Chunyu ZhongXiaowei Tang
Jul 14, 2020·World Journal of Gastroenterology : WJG·Nicholas BartellShivangi Kothari
Nov 20, 2019·Gastrointestinal Endoscopy Clinics of North America·Panida PiyachaturawatRungsun Rerknimitr
Jun 4, 2021·Endoscopy International Open·Gregorios A PaspatisEmmanouil Vardas
Jun 12, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Shannon Melissa ChanAnthony Yuen Bun Teoh

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