Initial experience with an innovative endoscopic clipping system.

Garth R. Jacobsen, Alisa Coker, Geylor Acosta, Mark A. Talamini, Thomas J. Savides, Santiago Horgan

Research output: Contribution to journalArticle

Abstract

There are few options for the treatment of fistulas, leaks, and perforations endoscopically. Here we describe our experience with an endoscopic clipping system. A retrospective review of all cases using the Over-The-Scope-Clip system (Ovesco Endoscopy AG, Tuebingen, Germany) was performed. The system was utilized in ten patients with gastrointestinal surgical complications. Four patients had gastric leaks following sleeve gastrectomy, one had a post-operative colonic leak, two had gastro-gastric fistulas following gastric bypass, and three had esophageal perforations. Two leak patients had complete resolution, one had a contained leak following clip placement that was clinically insignificant, and the fourth patient had a persistent leak despite two clipping procedures. Two patients had gastro-gastric fistulas following roux-en-y gastric bypass surgery and, while they both had initial success, the fistulas recurred. One patient presented with anastomotic leak following colon resection but the system was unable to reach the treatment site. Three patients were successfully treated for esophageal perforation. There were no complications. This over-the-scope endoscopic clip system is simple to use, safe, and successful in approximating tissue to treat traditionally difficult surgical complications. Further experience and longer follow-up are needed to assess its indications as related to defect size and location.

Original languageEnglish (US)
Pages (from-to)39-43
Number of pages5
JournalSurgical technology international
Volume22
StatePublished - Dec 2012
Externally publishedYes

Fingerprint

Surgical Instruments
Gastric Fistula
Esophageal Perforation
Gastric Bypass
Fistula
Anastomotic Leak
Gastrectomy
Endoscopy
Germany
Stomach
Colon
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Jacobsen, G. R., Coker, A., Acosta, G., Talamini, M. A., Savides, T. J., & Horgan, S. (2012). Initial experience with an innovative endoscopic clipping system. Surgical technology international, 22, 39-43.

Initial experience with an innovative endoscopic clipping system. / Jacobsen, Garth R.; Coker, Alisa; Acosta, Geylor; Talamini, Mark A.; Savides, Thomas J.; Horgan, Santiago.

In: Surgical technology international, Vol. 22, 12.2012, p. 39-43.

Research output: Contribution to journalArticle

Jacobsen, GR, Coker, A, Acosta, G, Talamini, MA, Savides, TJ & Horgan, S 2012, 'Initial experience with an innovative endoscopic clipping system.', Surgical technology international, vol. 22, pp. 39-43.
Jacobsen GR, Coker A, Acosta G, Talamini MA, Savides TJ, Horgan S. Initial experience with an innovative endoscopic clipping system. Surgical technology international. 2012 Dec;22:39-43.
Jacobsen, Garth R. ; Coker, Alisa ; Acosta, Geylor ; Talamini, Mark A. ; Savides, Thomas J. ; Horgan, Santiago. / Initial experience with an innovative endoscopic clipping system. In: Surgical technology international. 2012 ; Vol. 22. pp. 39-43.
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