Methods for Endoscopic Removal of Over-the-Scope Clip: A Systematic Review
Joint Authors
Ou, Ying Hua
Kong, Wei Fang
Li, Li Fu
Chen, Pei Sheng
Deng, San Hua
He, Feng Jian
Peng, Qian Qian
Yue, Hui
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-25
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Aims.
The over-the-scope clip (OTSC) has recently emerged as a new endoscopic device for treating gastrointestinal bleeding, perforations, fistulas, and leaks.
A modified OTSC device (full-thickness resection device, FTRD) has been widely used for endoscopic full-thickness resection.
However, there is less experience regarding the indications and methods for OTSC removal.
We aimed to summarize the existing methods and indications for OTSC removal.
Methods.
We searched PubMed, Cochrane Library, and ClinicalTrials.gov to identify relevant publications on OTSC removal.
The details of OTSC removal, including the methods, indications, success rates, adverse events, and failure causes, were extracted and summarized.
A meta-analysis of pooled success rates was conducted using STATA 15.0.
Results.
Eighteen articles were included.
The reported methods for OTSC removal included (1) grasping forceps, (2) the Nd : YAG laser, (3) argon plasma coagulation, (4) the remOVE system, (5) endoscopic mucosal resection/endoscopic submucosal dissection, and (6) ice-cold saline solution.
Indications for OTSC removal were (1) poor healing, (2) OTSC misplacement, (3) repeat biopsy/therapy or further treatment, (4) adverse events after OTSC implantation, (5) removal after recovery, and (6) patient wishes.
The pooled success rate of OTSC removal was 89% in patients treated with the remOVE system.
Minor bleeding, superficial thermal damage, and superficial mucosal tears were common adverse events.
Mucosal overgrowth was the main cause of OTSC removal failure.
Conclusions.
The remOVE system is the best investigated method, with sufficient efficacy and safety for OTSC removal.
This is the first systematic review of OTSC removal and provides significant guidance for clinical practice.
American Psychological Association (APA)
Ou, Ying Hua& Kong, Wei Fang& Li, Li Fu& Chen, Pei Sheng& Deng, San Hua& He, Feng Jian…[et al.]. 2020. Methods for Endoscopic Removal of Over-the-Scope Clip: A Systematic Review. Canadian Journal of Gastroenterology and Hepatology،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1139020
Modern Language Association (MLA)
Ou, Ying Hua…[et al.]. Methods for Endoscopic Removal of Over-the-Scope Clip: A Systematic Review. Canadian Journal of Gastroenterology and Hepatology No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1139020
American Medical Association (AMA)
Ou, Ying Hua& Kong, Wei Fang& Li, Li Fu& Chen, Pei Sheng& Deng, San Hua& He, Feng Jian…[et al.]. Methods for Endoscopic Removal of Over-the-Scope Clip: A Systematic Review. Canadian Journal of Gastroenterology and Hepatology. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1139020
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139020