Post written by Gustavo de Carvalho Bertaccini Guriam, MD, MSc, from the Department of Endoscopy, São Francisco Hapvida Hospital, São Paulo, Brazil. This case describes successful closure of a complex duodenal fistula that failed to respond to 2 surgical attempts at local suture after major abdominal surgery. Definitive treatment was achieved through a multimodal endoscopic approach, including …
Tag: Over-the-Scope Clip
Management of delayed colonic perforation after endoscopic submucosal dissection: the over-the-scope clip way
Post written by Yohei Minato, MD, from NTT Medical Center Tokyo, Tokyo, Japan. The video case presents management of a delayed colonic perforation that occurred after endoscopic submucosal dissection (ESD) of a 40-mm superficial neoplastic lesion in the ascending colon. Although the ESD was uneventful, the patient developed abdominal pain the next day, and emergency colonoscopy revealed …
Application of endoscopic purse-string sutures in refractory nonvariceal GI bleeding: a multicenter study (with video)
Post written by Feifan Chen, MD, Yifan Jia, MD, and Xue Xiao, MD, PhD, from West China Hospital of Sichuan University, Chengdu, China. We retrospectively collected data from 3 hospitals from patients who underwent endoscopic hemostasis for nonvariceal GI bleeding (GIB). Overall, 36 refractory bleeding patients received endoscopic purse-string sutures (PSSs), and 83.3% of them achieved clinical success. In refractory upper …
Enhancing stent length and stability with a novel through-the-scope suturing platform: a case series
Post written by Shailendra Singh, MD, and Ayowumi A. Adekolu, MD, from West Virginia University, Morgantown, West Virginia, USA. We present a case series showing the use of a through-the-scope suturing (TTSS) system (X-Tack; Apollo Endosurgery, Austin, Tex, USA) for fixing 2 fully covered self-expandable metal stents (FCSEMSs) for creating longer stents as well as …
Endoscopic repair of a perforated duodenal ulcer: time to close the gap
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. In this video, we demonstrate full-thickness endoscopic closure of an acute duodenal perforation using an over-the-scope suturing system. A 70-year-old patient with a history of abdominal surgeries and concerns for a duodenal perforation was …
Continue reading Endoscopic repair of a perforated duodenal ulcer: time to close the gap
Successful planned piecemeal endoscopic resection using gel immersion and an over-the-scope clip for a lesion extensively extended into the colonic diverticulum
Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 78-year-old man was referred to our institute for treatment of a flat elevated (20-mm diameter) lesion observed around and within the diverticulum near the ileocecal valve of the ascending colon. The lesion border was marked via an …
Safety and efficacy of over-the-scope clips versus standard therapy for high-risk nonvariceal upper GI bleeding: systematic review and meta-analysis
Post written by Jay Bapaye, MD, from the Department of Internal Medicine, Rochester General Hospital, Rochester, New York, USA. This study compared the safety and efficacy of over-the-scope clips (OTSCs) and standard therapy for high-risk nonvariceal upper GI bleeding (NVUGIB). Upper GI bleeding carries a high risk of morbidity and mortality. Endoscopic therapy aims at achieving …
Double-channel double-grasper technique in over-the-scope clip deployment
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. Endoscopic management of gastrointestinal fistula and leak is increasingly utilized. One of the options is to apply over-the-scope (OTS) clipping devices to close the defect. During pulling the grasped walls into the …
Continue reading Double-channel double-grasper technique in over-the-scope clip deployment
Feasibility and efficacy of double over-the-scope clipping for colonic iatrogenic perforation
Post written by Paola Soriani, MD, from the Digestive Endoscopy Unit, Azienda USL Modena, Ramazzini Hospital, Carpi, Italy. An 89-year-old woman underwent colonoscopy. In a setting of severe diverticular disease, a perforation of 20-25 mm occurred in the sigmoi-rectal juntion. The leakage was completely closed after the deployment of 2 over-the-scope clips, tightly adjacent to …
EMR with an over-the-scope clip for superficial nonampullary duodenal epithelial tumor with fibrosis
Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 52-year-old man was found to have a flat-elevated tumor measuring approximately 10 mm in diameter in the second part of the duodenum. First, the border of the target lesion was marked using the tip of …
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