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Efficacy of the over-the-scope clip system for treatment of gastrointestinal fistulas, leaks, and perforations: A Korean multi-center study

Title
Efficacy of the over-the-scope clip system for treatment of gastrointestinal fistulas, leaks, and perforations: A Korean multi-center study
Author
이항락
Keywords
Over the scope clip; Gastrointestinal leak; Fistula; Perforation
Issue Date
2018-01
Publisher
KOREAN SOC GASTROINTESTINAL ENDOSCOPY
Citation
CLINICAL ENDOSCOPY, v. 51, no. 1, page. 61-65
Abstract
Background/Aims: Currently, a new over-the-scope clip (OTSC) system has been introduced. This system has been used for gastrointestinal perforations and fistulas in other countries. The aim of our study is to examine the therapeutic success rate of endoscopic treatment using the OTSC system in Korea.Methods: This was a multicenter prospective study. A total of seven endoscopists at seven centers performed this procedure.Results: A total of 19 patients were included, with gastrointestinal leakages from anastomosis sites, fistulas, or esophageal perforations due to Boerhaave's syndrome. Among these, there were three gastrojejunostomy sites, three esophagojejunostomy sites, four esophagogastrostomy sites, one esophagocolonostomy site, one jejuno-jejunal site, two endoscopic full thickness resection site closures, one Boerhaave's syndrome, two esophago-bronchial fistulas, one gastrocolonic fistula, and one colonopseudocyst fistula. The size of the leakage ranged from 5 to 30 mm. The median procedure time was 16 min. All cases were technically successful. Complete closure of the leak was achieved in 14 of 19 patients using OTSC alone.Conclusions: The OTSC system is a safe and effective method for the management of gastrointestinal leakage, especially in cases of anastomotic leakage after surgery.
URI
https://www.e-ce.org/journal/view.php?doi=10.5946/ce.2017.027http://repository.hanyang.ac.kr/handle/20.500.11754/117218
ISSN
2234-2400; 2234-2443
DOI
10.5946/ce.2017.027
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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