Over-the-scope clips (OTSC) are a safe and effective endoscopic therapy to manage gastrointestinal bleeding, perforations, and leaks[1][4][5]. Here are some insights on OTSC:
- OTSC is an innovative clipping system that may play an important role in rescue therapy[5].
- OTSC is cost-effective in recurrent peptic ulcer bleeding[2].
- OTSC can be used in combination with mega stents for the management of post-bariatric surgery leaks and fistulas[2].
- Primary OTSC treatment might not be superior to standard treatment in patients with predominantly inactive peptic ulcer[3].
- OTSC is mostly used in severe or refractory bleeding from nonvariceal causes[6].
OTSC is a useful tool in the endoscopic management of gastrointestinal bleeding, perforations, and leaks. However, further studies are needed to determine the optimal use of OTSC in different clinical scenarios.
Citations:
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327783/
[2] https://pubmed.ncbi.nlm.nih.gov/36397772/
[3] https://gut.bmj.com/content/early/2023/01/27/gutjnl-2022-329296
[4] https://www.e-ce.org/m/journal/view.php?number=7596
[5] https://onlinelibrary.wiley.com/doi/full/10.1111/jgh.14402
[6] https://www.acpjournals.org/doi/10.7326/M22-1783