| Title |
Endoskopinis virškinamojo trakto fistulių, perforacijų ir anastomozių nepakankamumo gydymas naudojant OTSC kabutę (OVESCO) / |
| Another Title |
Endoscopic treatment of fistulae, perforations and anastomotic leaks of the digestive tract with the OTSC clip (OVESCO). |
| Authors |
Radžiūnas, Gintautas ; Kildušienė, Inga ; Stanaitis, Juozas ; Krasauskas, Arnoldas ; Samalavičius, Narimantas Evaldas |
| DOI |
10.15388/LietChirur.2014.3085 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2014, t. 13, Nr. 2, p. 98-103.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
fistulae of the digestive tract ; endoskopic treatment ; OTSC system |
| Abstract [eng] |
Background / objective OTSC (Over-The-Scope Clip, Ovesco Endoscopy GmbH, Tuebingen, Germany) is a new endoscopic method of the restitution of the gastrointestinal tract integrity, which offers a new class of endoscopic clips providing for significantly more strength and a better tissue capture as compared to the conventional clips delivered through the working channel of a flexible endoscope. The OTSC System could be used in flexible endoscopy for 1) acute bleeding, 2) full thickness wall closure, 3) compression as well as approximation of tissue, and 4) management of complications after endoscopic or surgical interventions. The aim of the presentation is a retrospective analysis of the restitution of digestive tract integrity with OTSC System. Results 2013.03–2014.02 in Vilnius University Hospital Santariskiu Klinikos and Institute of Oncology, Vilnius University, 9 patients were treated with the OTSC System. There were 6 males and 3 females, age range 35–86 years. Indications for the procedure were: 4 anastomotic leaks and subacute fistulas after esophageal resection, gastrectomy and partial gastrectomy, 2 perforations due to necrotic pancreatitis after multiple operations – stomach and duodenum, 2 chronic fistulae after esophageal resection, suture of esophageal perforation due to a foreign body, and 1 acute perforation of the descending colon during colonoscopic polypectomy. Initial success was achieved in 7 out of 9 cases; the completeness of closure was checked radiologically or injecting a methylene-blue solution immediately after a clip application. The total number of clips was 12. At the follow-up, in 7 cases out of 9 no fistula/dehiscence was present, in one case of necrotizing pancreatitis a new fistula developed in another place and we didn’t succeed to close, one case with a large leak. Conclusions. The OTSC System is a new efficient endoscopic means of closing a leak, fistula or perforation. A complete fistula / leak / perforation closure was achieved in 7 out of 9 (78%) cases by using the OTSC System. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2014 |
| CC license |
|
