Mosquera-Klinger G, Torres-Rincón R, Jaime-Carvajal J
Unidad de Gastroenterología y Endoscopia Digestiva, Hospital Pablo Tobón Uribe, Medellín, Colombia.
Departamento de Cirugía General, Hospital Pablo Tobón Uribe, Medellín, Colombia.
Rev Gastroenterol Mex (Engl Ed). 2019 Apr-Jun;84(2):263-266. doi: 10.1016/j.rgmx.2018.10.004. Epub 2019 Apr 20.
Enteric perforations and fistulas are difficult to manage due to comorbidities, poor nutritional status, and anatomic challenges related to multiple interventions in those patients. The use of endoscopic methods as a nonsurgical approach is increasing. The aim of the present study was to describe the clinical experience with the use of the Ovesco Over-The-Scope Clip system in the closure of perforations, fistulas, and other indications in the digestive tract at a tertiary care hospital center.
A case series was carried out on patients that underwent lesion closure with the Ovesco clip, within the time frame of January 2015 to December 2017.
The Ovesco clip was used for closure in 14 patients ranging in age from 21-90 years, with different indications: iatrogenic perforations; anastomotic leaks and fistulas; tracheoesophageal fistulas; and esophagogastric perforation. Technical success was achieved in 100% of the patients and clinical success in 78.57%. No complications were reported.
The Ovesco Over-The-Scope Clip system is a safe and effective method for managing gastrointestinal acute perforations and fistulas.
由于合并症、营养状况差以及这些患者多次干预相关的解剖学挑战，肠道穿孔和瘘管难以处理。作为一种非手术方法，内镜方法的使用正在增加。本研究的目的是描述在一家三级医疗中心使用Ovesco套扎系统封闭消化道穿孔、瘘管及其他适应症的临床经验。
对2015年1月至2017年12月期间使用Ovesco夹子进行病变封闭的患者进行了病例系列研究。
14例年龄在21至90岁之间的患者使用Ovesco夹子进行封闭，适应症各不相同：医源性穿孔；吻合口漏和瘘管；气管食管瘘；以及食管胃穿孔。100%的患者技术成功，78.57%临床成功。未报告并发症。
Ovesco套扎系统是处理胃肠道急性穿孔和瘘管安全有效的方法。
