Junquera Félix, Martínez-Bauer Eva, Miquel Mireia, Fort Miriam, Gallach Marta, Brullet Enric, Campo Rafael
Unidad de Endoscopia Digestiva, Servicio de Aparato Digestivo, Corporación Parc Taulí, Sabadell, CIBER-ehd.
Gastroenterol Hepatol. 2011 Oct;34(8):568-72. doi: 10.1016/j.gastrohep.2011.05.007. Epub 2011 Jul 14.
Perforations of the gastrointestinal tract are a significant source of morbidity in clinical practice. Surgery has been the standard of care. However, endoscopic treatment with clips can be used when perforations are small. The development of natural orifice transluminal endoscopic surgery (NOTES) has substantially contributed to research in this field, such as the over the scope clip (OVESCO or OTSC). This system is one of the most promising technologies for closure of perforations of the gastrointestinal tract because of its efficacy, safety and rapidity. Other indications include severe gastrointestinal bleeding, fistulae, anastomotic leaks, and bariatric surgery anastomosis remodelling. This article describes the OVESCO system from its initial design to its introduction in clinical practice.
胃肠道穿孔是临床实践中发病的一个重要来源。手术一直是标准的治疗方法。然而，当穿孔较小时，可以使用夹子进行内镜治疗。自然腔道内镜手术（NOTES）的发展极大地推动了该领域的研究，例如套扎夹（OVESCO或OTSC）。由于其有效性、安全性和快速性，该系统是胃肠道穿孔闭合最有前景的技术之一。其他适应症包括严重胃肠道出血、瘘管、吻合口漏和减重手术吻合口重塑。本文介绍了OVESCO系统从最初设计到引入临床实践的过程。
