Year 2020 / Volume 112 / Number 5
Original
Conventional clips vs over-the-scope-clips for the closure of the entry site in POEM and G-POEM procedures

338-342

DOI: 10.17235/reed.2020.6568/2019

Óscar Víctor Hernández Mondragón, Raúl Gutiérrez-Aguilar, Luis Fernando García Contreras, Raquel Palos-Cuéllar, Gerardo Blanco Velasco, Zuhy Arlette Monroy Teniza,

Abstract
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.
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Hernández Mondragón Ó, Gutiérrez-Aguilar R, García Contreras L, Palos-Cuéllar R, Blanco Velasco G, Monroy Teniza Z, et all. Conventional clips vs over-the-scope-clips for the closure of the entry site in POEM and G-POEM procedures. 6568/2019


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Publication history

Received: 13/08/2019

Accepted: 13/10/2019

Online First: 18/03/2020

Published: 08/05/2020

Article revision time: 41 days

Article Online First time: 218 days

Article editing time: 269 days


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