Conventional clips vs over-the-scope-clips for the closure of the entry site in POEM and G-POEM procedures
| Autor: | Zuhy Arlette Monroy Teniza, Raquel Palos-Cuellar, Luis Fernando García Contreras, Raúl Gutiérrez-Aguilar, Gerardo Blanco Velasco, Oscar V. Hernández Mondragón |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Myotomy
Natural Orifice Endoscopic Surgery medicine.medical_specialty medicine.medical_treatment Esophageal Sphincter Lower 03 medical and health sciences 0302 clinical medicine Pyloromyotomy medicine Gastric Peroral Endoscopic Pyloromyotomy Humans Prospective Studies Closure (psychology) CLIPS computer.programming_language Retrospective Studies Retrospective review medicine.diagnostic_test business.industry Gastroenterology General Medicine Surgical Instruments Entry site Endoscopy Surgery Esophageal Achalasia Treatment Outcome 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology business computer |
| Zdroj: | Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva. 112(5) |
| ISSN: | 1130-0108 |
| Popis: | Background: new alternatives for entry site closure (ESC) in per-oral endoscopy myotomy (POEM) and gastric peroral endoscopy myotomy (G-POEM) have appeared. Objective: to compare the over-the-scope-clip (OTSC®) and conventional clips (CC) for ESC in POEM and G-POEM. Material and methods: a retrospective review of a prospective POEM and G-POEM database was performed between January 2015 and August 2019. A description was made of outcomes, using either OTSC® or CC for submucosal tunnel closure. Results: forty-six POEM and 26 G-POEM were included in the study (23/13 per group [CC/OTSC®]). There were no clinical or procedure differences. ESC was performed with 1 OTSC® vs 5 CC and 1 vs 6 (p = 0.01) for POEM and G-POEM, respectively. Adverse events associated with clips were 21.7% vs 13% (p = 0.01) and 7.7% vs 0% (p = 0.02) for CC and OTSC® in POEM and G-POEM, respectively. Conclusion: OTSC® represents a safe and effective alternative for entry site closure in POEM and G-POEM cases. Further studies are needed to recommend OTSC® as the first option for submucosal tunnel closure in these procedures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|