Schmidt Arthur R, Glaser Nicolas, Kuellmer Armin, Caca Karel, Lau James
Department of Medicine II, Faculty of Medicine, University of Freiburg, Medical Centre, Freiburg, Germany.
Department of Medicine II, Faculty of Medicine, University of Freiburg, Medical Centre, Freiburg, Germany.
Gastrointest Endosc Clin N Am. 2020 Jan;30(1):1-11. doi: 10.1016/j.giec.2019.08.001. Epub 2019 Oct 14.
The over-the-scope clip is a novel endoscopic tool developed for tissue compression in the gastrointestinal tract. It has already revolutionized the management of acute perforations and leaks. In the past decade, it has also increasingly been used for treatment of severe and/or refractory gastrointestinal hemorrhage. Available studies report high rates of primary hemostasis and rebleeding. This article provides an overview on available literature, potential indications, and technical aspects of hemostasis with over-the-scope clip.
全视域夹是一种为胃肠道组织压迫而开发的新型内镜工具。它已经彻底改变了急性穿孔和渗漏的治疗方式。在过去十年中,它也越来越多地用于治疗严重和/或难治性胃肠道出血。现有研究报告了较高的初次止血率和再出血率。本文概述了关于全视域夹止血的现有文献、潜在适应症和技术方面。