Mönkemüller Klaus, Martínez-Alcalá Alvaro, Schmidt Arthur R, Kratt Thomas
Department of Gastroenterology, Helios Frankenwaldklinik, Kronach, Germany; Department of Gastroenterology, Otto-von-Guericke University, Magdeburg, Germany; University of Belgrade, Belgrade, Serbia.
Department of Gastroenterology, Hospital Universitario Infanta Leonor, Madrid, Spain.
Gastrointest Endosc Clin N Am. 2020 Jan;30(1):41-74. doi: 10.1016/j.giec.2019.09.003.
Despite major improvements in endoscopic devices and therapeutic endoscopy, closure of gastrointestinal perforations, dehiscence, and fistulae had remained problematic. However, since the advent of devices such as the over the scope clip and others, endoscopic closure of gastrointestinal defects has become a routine approach. Furthermore, because of its strong apposition force, the over the scope clip may also be used to anchor fully covered self-expanding metal stents. In addition, the over the scope clip is an effective rescue therapy for various types of gastrointestinal bleeding pathologies. It is frequently used as an additional tool in complex gastrointestinal leak cases requiring internal and external drains.
尽管内镜设备和治疗性内镜技术有了重大改进，但胃肠道穿孔、裂开和瘘管的闭合仍然存在问题。然而，自从出现诸如套扎夹等器械以来，内镜下闭合胃肠道缺损已成为一种常规方法。此外，由于其强大的对合力量，套扎夹还可用于固定全覆膜自膨式金属支架。此外，套扎夹是治疗各种类型胃肠道出血病变的有效挽救疗法。在需要内外引流的复杂胃肠道漏病例中，它经常被用作辅助工具。
