Long-term outcomes of over-the-scope clip for refractory gastrointestinal diseases
Autor: | Nobuya Kobayashi, Hideki Kobara, Akira Nishiyama, Noriko Nishiyama, Koji Fujita, Tatsuo Yachida, Yasuhiro Goda, Taiga Chiyo, Shintaro Fujihara, Keiichi Okano, Masashi Takata, Kazuhiro Kozuka, Takanori Matsui, Tingting Shi, Tsutomu Masaki, Joji Tani, Hirohito Mori, Naoya Tada, Daisuke Nakano |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Fistula business.industry Gastrointestinal Diseases food and beverages Over the scope clip Surgical Instruments Endoscopy Gastrointestinal Treatment Outcome Refractory medicine Long term outcomes Humans Surgery Intensive care medicine business Gastrointestinal Hemorrhage Retrospective Studies |
Zdroj: | Minimally invasive therapyallied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy. 31(4) |
ISSN: | 1365-2931 |
Popis: | The Over-The-Scope Clip (OTSC) can effectively treat refractory gastrointestinal diseases. However, most reports have focused on short-term effectiveness. We examined clinical outcomes of the deployed clips and long-term characteristics.Of 47 patients with OTSC treatment, 35 with follow-up periods of ≥3 months were retrospectively examined. The indications were 11 bleedings, 17 perforations, and seven fistulas. The observation period was defined as medium-term (3 to12 months) or long-term (≥12 months). The primary outcome was the clinical success rate without disease recurrence. The secondary outcomes were the complication rate, survival duration, and clip retention rate.The medium- and long-term clinical success rates were 100% during the observation period (median, 44 months; range, 3-78 months). The complication rate was 2.9% (Regardless of clip detachment, the OTSC can be effective in long-term. |
Databáze: | OpenAIRE |
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