Year 2023 / Volume 115 / Number 2
Original
Over-the-scope-clip (OTSC®) as a rescue treatment for gastrointestinal bleeding secondary to peptic ulcer disease

70-74

DOI: 10.17235/reed.2022.8722/2022

David Villaescusa Arenas, Enrique Rodríguez de Santiago, Miguel Ángel Rodríguez Gandía, Sofía Parejo Carbonell, Beatriz Peñas García, Antonio Guerrero García, José Ramón Foruny Olcina, Ana García García de Paredes, Juan Ángel González Martín, Enrique Vázquez-Sequeiros, Agustín Albillos,

Abstract
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.
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Villaescusa Arenas D, Rodríguez de Santiago E, Rodríguez Gandía M, Parejo Carbonell S, Peñas García B, Guerrero García A, et all. Over-the-scope-clip (OTSC®) as a rescue treatment for gastrointestinal bleeding secondary to peptic ulcer disease. 8722/2022


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Publication history

Received: 16/02/2022

Accepted: 02/04/2022

Online First: 26/04/2022

Published: 07/02/2023

Article Online First time: 69 days

Article editing time: 356 days


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