Over-the-scope-clip (OTSC®) as a rescue treatment for gastrointestinal bleeding secondary to peptic ulcer disease.

Autor:	Villaescusa Arenas D; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, España., Rodríguez de Santiago E; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, España., Rodríguez Gandía MÁ; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal., Parejo Carbonell S; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal., Peñas García B; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal. , España., Guerrero García A; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal., Foruny Olcina JR; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal., García García de Paredes A; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal. Universidad de Alcalá. IRYCIS, España., González Martín JÁ; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal., Vázquez-Sequeiros E; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, España., Albillos A; Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal.
Jazyk:	angličtina
Zdroj:	Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 2023 Feb; Vol. 115 (2), pp. 70-74.
DOI:	10.17235/reed.2022.8722/2022
Abstrakt:	Background and Aims: over-the-scope-clips (OTSC®) have been proposed as a rescue treatment for bleeding peptic ulcers. However, their effectiveness has not been evaluated in Spain. Methods: this retrospective and single-center study (January 2018-December 2021) assessed the technical success, clinical success and safety of the device within 30 days. All patients with upper gastrointestinal bleeding due to a peptic ulcer and treated with the OTSC® clip (OVESCO) as a rescue therapy were included in the study. Results: a total of eleven patients were included in the study, nine due to rebleeding and two due to persistent bleeding. Technical success was 81.9 % (9/11, confidence interval [CI] 95 %: 52-95 %). The per-protocol and intention-to-treat clinical success were 88.9 % (8/9, CI 95 %: 57-98 %) and 72.7 % (8/11, CI 95 %: 43-90 %), respectively. No device-related adverse effects were recorded. Conclusion: the OTSC® clip was an effective and safe rescue therapy for bleeding peptic ulcers.
Databáze:	MEDLINE
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