Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, España.
Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal.
Rev Esp Enferm Dig. 2023 Feb;115(2):70-74. doi: 10.17235/reed.2022.8722/2022.
over-the-scope-clips (OTSC®) have been proposed as a rescue treatment for bleeding peptic ulcers. However, their effectiveness has not been evaluated in Spain.
this retrospective and single-center study (January 2018-December 2021) assessed the technical success, clinical success and safety of the device within 30 days. All patients with upper gastrointestinal bleeding due to a peptic ulcer and treated with the OTSC® clip (OVESCO) as a rescue therapy were included in the study.
a total of eleven patients were included in the study, nine due to rebleeding and two due to persistent bleeding. Technical success was 81.9 % (9/11, confidence interval [CI] 95 %: 52-95 %). The per-protocol and intention-to-treat clinical success were 88.9 % (8/9, CI 95 %: 57-98 %) and 72.7 % (8/11, CI 95 %: 43-90 %), respectively. No device-related adverse effects were recorded.
the OTSC® clip was an effective and safe rescue therapy for bleeding peptic ulcers.
过内镜结扎夹（OTSC®）已被提议作为治疗消化性溃疡出血的抢救治疗方法。然而，其在西班牙的有效性尚未得到评估。
本回顾性单中心研究（2018 年 1 月至 2021 年 12 月）评估了 30 天内该设备的技术成功率、临床成功率和安全性。所有因消化性溃疡出血且接受 OTSC®夹（OVESCO）作为抢救治疗的上消化道出血患者均纳入本研究。
共纳入 11 例患者，9 例因再出血，2 例因持续出血。技术成功率为 81.9%（9/11，95%置信区间：52-95%）。按方案和意向治疗的临床成功率分别为 88.9%（8/9，95%置信区间：57-98%）和 72.7%（8/11，95%置信区间：43-90%）。未记录到与器械相关的不良事件。
OTSC®夹是治疗消化性溃疡出血的一种有效且安全的抢救治疗方法。
