使用新型切割装置经内镜取出套扎夹：一项回顾性病例系列研究
Endoscopic removal of over-the-scope clips using a novel cutting device: a retrospective case series.
作者信息
Schmidt Arthur, Riecken Bettina, Damm Michael, Cahyadi Oscar, Bauder Markus, Caca Karel
机构信息
Department of Gastroenterology and Oncology, Klinikum Ludwigsburg, Ludwigsburg, Germany.
出版信息
Endoscopy. 2014 Sep;46(9):762-6. doi: 10.1055/s-0034-1365493. Epub 2014 Apr 25.
BACKGROUND AND STUDY AIMS
Over-the-scope clips (OTSCs; Ovesco Endoscopy, Tübingen, Germany) are extensively used for treatment of gastrointestinal perforations, leakages, fistulas, and bleeding. In this report, a new method of removing OTSCs using a prototype bipolar cutting device is described.
PATIENTS AND METHODS
A total of 11 patients underwent endoscopic removal of an OTSC. The OTSC was cut at two opposing sites by a prototype device (DC ClipCutter; Ovesco Endoscopy). The remaining clip fragments were extracted using a standard forceps.
RESULTS
Mean procedure time was 47 minutes (range 35 - 75 minutes). Cutting of the OTSC at two opposing sites was successful in all cases (100 %). Complete retrieval of all clip fragments was possible in 10 patients (91 %). The overall success rate for cutting and complete removal of the clip was 91 %. No major complications were observed.
CONCLUSIONS
Removal of OTSCs with the prototype device was feasible and effective. The device may be valuable for OTSC removal in emergency as well as elective indications.
背景与研究目的
全层吻合夹（OTSCs；德国图宾根市的Ovesco内镜公司生产）广泛应用于胃肠道穿孔、渗漏、瘘管及出血的治疗。在本报告中，描述了一种使用原型双极切割装置移除OTSCs的新方法。
患者与方法
共有11例患者接受了内镜下OTSCs移除术。使用原型装置（DC ClipCutter；Ovesco内镜公司）在两个相对部位切割OTSC。使用标准镊子取出剩余的夹子碎片。
结果
平均手术时间为47分钟（范围35 - 75分钟）。在所有病例（100%）中，在两个相对部位成功切割OTSC。10例患者（91%）能够完全取出所有夹子碎片。夹子切割及完全移除的总体成功率为91%。未观察到重大并发症。
结论
使用原型装置移除OTSCs是可行且有效的。该装置对于急诊及择期情况下移除OTSCs可能具有重要价值。
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