Der Over-the-Scope-Clip

Der Over-the-Scope-Clip (OTSC^®) wird hauptsächlich für Wandverschlüsse eingesetzt. In der vorliegenden Übersichtsarbeit soll auf die Einsatzmöglichkeiten, die technische Durchführung, bisherige Erfahrungen, aber auch Limitationen dieses noch relativ neuen (aber dennoch bereits etablierten) Verfahrens eingegangen werden.

Schlüsselwörter

Perforation - Clip - Fistel

• Literatur

• 1 Von Renteln D, Rudolph HU, Schmidt A et al. Endoscopic closure of duodenal perforations by using an over-the-scope clip: a randomized, controlled porcine study. GI Endosc 2010; 71: 131-138
• 2 Voermans RP, van Berge Henegouwen MI, Bemelman WA et al. Hybrid NOTES transgastric cholecystectomy with reliable gastric closure: an animal survival study. Surg Endosc 2011; 25: 728-736
• 3 Kratt T, Küper M, Traub F et al. Feasibility study for secure closure of natural orifice transluminal endoscopic surgery gastrotomies by using over-the-scope clips. Gastrointest Endosc 2008; 68: 993-996
• 4 Parodi A, Repici A, Pedroni A et al. Endoscopic management of GI perforations with a new over-the-scope clip device (with videos). Gastrointest Endosc 2010; 72: 881-6
• 5 Albert JG, Friedrich-Rust M, Woeste G et al. Benefit of a clipping device in use in intestinal bleeding and intestinal leakage. GI Endosc 2011 DOI: 10.1016/j.gie. 2011; 03: 1128-1128
• 6 Pohl J, Borgulya M, Lorenz D, Ell C. Endoscopic closure of postoperative esophageal leaks with a novel over-the-scope clip system. Endoscopy 2010; 42: 757-759
• 7 Kirschniak A, Subotova N, Zieker D et al. The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas. Surg Endosc. 18.03.2011; 68 [Epub ahead of print]
• 8 Fändrich M, Sandmann M, Heike M. Removal of over the scope clips (OTSC) with an Nd:YAG laser. Z Gastroenterol 2011; 49: 579-583