Image of the monthTreatment of a Sigmoid Perforation With an Over-the-Scope Clip During Diagnostic Colonoscopy
Section snippets
Discussion
Iatrogenic perforations that occur during endoscopic procedures are generally managed surgically, even if some providers prefer a nonsurgical approach. The risk of morbidity and mortality is limited only in selected cases.1 Recently, increasingly invasive endoscopic therapies, such as natural orifice transluminal endoscopic surgery, provided an impetus for progress in endoscopic closure techniques2 especially when an OTSC (OVESCO, Endoscopy, Tübingen, Germany) was developed.
Although the use of
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Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity
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Feasibility study for secure closure of natural orifice transluminal endoscopic surgery gastrotomies by using over-the-scope clips
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Cited by (4)
New Devices and Techniques for Handling Adverse Events. Claw, Suture, or Cover?
2015, Gastrointestinal Endoscopy Clinics of North AmericaCitation Excerpt :Overall success rates of OTSC in the literature range from 75% to 100% for closure of iatrogenic GI perforations, 38% to 100% for closure of GI fistulas, 50% to 100% for anastomotic leaks, and 71% to 100% for bleeding lesions.11,12 The OTSC system has been used to repair perforations at esophageal, gastric, small bowel, and colonic sites.25–27 Voermans and colleagues25 reported successful endoscopic closures by location: 100% success for esophageal, 100% for gastric, 75% for small bowel, and 92% for colonic perforations.
Endoscopic treatment of perforations and fistulas
2014, Advanced Colonoscopy: Principles and Techniques Beyond Simple Polypectomy
Conflicts of interest The authors disclose no conflicts.