OTSC-Clipsystem – Klinische Anwendungen und Experimentelle Erfahrungen – Systematischer Review

Zusammenfassung

Der OTSC-Clip ist ein neues Clipsystem für die flexible Endoskopie. Der Clip besteht aus einer super­elastischen Legierung und wird von einem Applikator, welcher auf der Spitze des flexiblen Endoskops angebracht ist, appliziert. Es ist mit diesem Clip möglich, wesentlich mehr Gewebe zu komprimieren als mit herkömmlichen Clipverfahren, welche durch den Arbeitskanal appliziert werden. Seit der Einführung des OTSC-Clips wurden bis dato 29 Publikationen zu klinischen Anwendungen und Einsatz im experimentellen Bereich veröffentlicht. Mit dieser Literaturübersicht soll ein Überblick über die Möglichkeiten und Grenzen des OTSC-Clips gegeben werden. 

Abstract

The OTSC-clip is a new clipping device in the field of flexible endoscopy. The clip exists of a super­elastic alloy. The applicator is installed on the tip of the endoscope. The clip allows compressing a higher amount of tissue than other available clips which are applied through the working channel of the endoscope. Since the introduction of the OTSC-clip 29 publications of clinical application or experiences in experimental setups have been published. This overview of the literature should describe the drawbacks and opportunities of the OTSC-clip system. 

Schlüsselwörter

OTSC-Clip - Endoskopie - Blutstillung - Perforation - Fisteln

Key words

OTSC-clip - endoscopy - hemostasis - perforation - fistulas

Literatur

• 1 Hayashi T, Yonezawa M, Kuwabara T et al. The study on staunch clips for the treatment by endoscopy.  Gastrointest Endosc. 1975;  17 92-101
• 2 Hachisu T. Evaluation of endoscopic hemostasis using an improved clipping apparatus.  Surg Endosc. 1988;  2 13-17
• 3 Kirschniak A. Entwicklung und Erprobung eines superelastischen Clipsystems zur Behandlung des blutenden peptischen Ulcus. Tuebingen: Department of surgery: Eberhard-Karls University; 2004
• 4 Hartmann C. Entwicklung und Erprobung eines superelastischen Clipsystems zur Behandlung iatrogener Kolonperforationen nach Koloskopie. 2005
• 5 Albert J G, Friedrich-Rust M, Woeste G et al. Benefit of a clipping device in use in intestinal bleeding and intestinal leakage.  Gastrointest Endosc. 2011;  Epub ahead of print
• 6 Arezzo A, Repici A, Kirschniak A et al. OTSC-Over the scope clip: Una grande clip in nitniolo di nuova concezione.  Società Italiana Endoscopia Digesetiva. 2008; 
• 7 Arezzo A, Kratt T, Schurr M O et al. Laparoscopic-assisted transgastric cholecystectomy and secure endoscopic closure of the transgastric ­defect in a survival porcine model.  Endoscopy. 2009;  41 767-772
• 8 Arezzo A, Repici A, Kirschniak A et al. New developments for endoscopic hollow organ closure in prospective of NOTES.  Minim Invasive Ther ­Allied Technol. 2008;  17 355-360
• 9 Bini R, Coppola F, Recchia S et al. Endoscopic Treatment of Postgastrec­tomy Duodenal Fistula With an Over-the-Scope Clip.  Surg Innov. 2011;  18 102-104
• 10 Dai S Y, Herrman T J. Evaluation of two liquid chromatography / tandem mass spectrometry platforms for quantification of monensin in animal feed and milk.  Rapid Commun Mass Spectrom. 2010;  24 1431-1438
• 11 Herrman T J, Langemeier M R, Frederking M. Development and implementation of hazard analysis and critical control point plans by several U.S. feed manufacturers.  J Food Prot. 2007;  70 2819-2823
• 12 Heylen A M, Jacobs A, Lybeer M et al. The OTSC(R)-Clip in Revisional ­Endoscopy Against Weight Gain After Bariatric Gastric Bypass Surgery.  Obes Surg. 2010;  [Epub ahead of print]
• 13 Iacopini F, Di Lorenzo N, Altorio F et al. Over-the-scope clip closure of two chronic fistulas after gastric band penetration.  World J Gastro­enterol. 2010;  16 1665-1669
• 14 Iliadou V, Van Den Bogaert K, Eleftheriades N et al. Monogenic nonsyndromic otosclerosis: audiological and linkage analysis in a large Greek pedigree.  Int J Pediatr Otorhinolaryngol. 2006;  70 631-637
• 15 Kirschniak A, Kratt T, Stuker D et al. A new endoscopic over-the-scope clip system for treatment of lesions and bleeding in the GI tract: first clinical experiences.  Gastrointest Endosc. 2007;  66 162-167
• 16 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. 2011;  Epub ahead of print
• 17 Kirschniak A, Traub F, Kueper M A et al. Endoscopic treatment of gastric perforation caused by acute necrotizing pancreatitis using over-the-scope clips: a case report.  Endoscopy. 2007;  39 1100-1102
• 18 Kratt T, Kuper 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
• 19 Manta R, Manno M, Bertani H et al. Endoscopic treatment of gastro­intestinal fistulas using an over-the-scope clip (OTSC) device: Case ­series from a tertiary referral center.  Endoscopy. 2011;  43 545-548
• 20 Niedermeyer H P, Arnold W. Otosclerosis and measles virus – association or causation?.  ORL J Otorhinolaryngol Relat Spec. 2008;  70 63-69 discussion 69–70
• 21 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;  72 881-886
• 22 Pohl J, Borgulya M, Lorenz D et al. Endoscopic closure of postoperative esophageal leaks with a novel over-the-scope clip system.  Endoscopy. 2010;  42 757-759
• 23 Repici A, Arezzo A, DeCaro G et al. Clinical experience with a new endoscopic over-the-scope clip system for use in the GI tract.  Dig Liver Dis. 2009;  41 406-410
• 24 Rodriguez L, Rodriguez S, Hermida J et al. Proposed association between the COL1A1 and COL1A2 genes and otosclerosis is not supported by a case-control study in Spain.  Am J Med Genet A. 2004;  128A 19-22
• 25 Rolanda C, Lima E, Silva D et al. In vivo assessment of gastrotomy closure with over-the-scope clips in an experimental model for varico­celectomy (with video).  Gastrointest Endosc. 2009;  70 1137-1145
• 26 Schuck O, Teplan V, Mareckova O et al. Estimation of glomerular filtration rate based on the modification of diet in renal disease equation in patients with chronic renal failure.  Kidney Blood Press Res. 2005;  28 63-67
• 27 Schurr M O, Arezzo A, Ho C N et al. The OTSC clip for endoscopic organ closure in NOTES: device and technique.  Minim Invasive Ther Allied Technol. 2008;  17 262-266
• 28 Schurr M O, Hartmann C, Ho C N et al. An over-the-scope clip (OTSC) system for closure of iatrogenic colon perforations: results of an experimental survival study in pigs.  Endoscopy. 2008;  40 584-588
• 29 Schurr M O, Hartmann C, Kirschniak A et al. [Experimental study on a new method for colonoscopic closure of large-bowel perforations with the OTSC clip].  Biomed Tech (Berl). 2008;  53 45-51
• 30 Schurr M O, Hartmann C, Kirschniak A et al. Experimental study on a new method for colonoscopic closure of large-bowel perforations with the OTSC clip.  Biomed Tech (Berl). 2008;  53 45-51
• 31 Seebach L, Bauerfeind P, Gubler C. “Sparing the surgeon”: clinical experience with over-the-scope clips for gastrointestinal perforation.  ­Endoscopy. 2010;  42 1108-1111
• 32 Tomulescu V, Gheorghe C, Pitigoi D et al. [An experimental model of transgastric ooforectomy using a porcine model].  Chirurgia (Bucur). 2010;  105 331-337
• 33 Voermans R P, Vergouwe F, Breedveld P et al. Comparison of endoscopic closure modalities for standardized colonic perforations in a porcine colon model.  Endoscopy. 2011;  43 217-222
• 34 Voermans R P, van Berge Henegouwen M I, Bemelman W A et al. Novel over-the-scope-clip system for gastrotomy closure in natural orifice transluminal endoscopic surgery (NOTES): an ex vivo comparison study.  Endoscopy. 2009;  41 1052-1055
• 35 Voermans R P, van Berge Henegouwen M I, Bemelman W A et al. Hybrid NOTES transgastric cholecystectomy with reliable gastric closure: an animal survival study.  Surg Endosc. 2011;  25 728-736
• 36 von Renteln D, Denzer U W, Schachschal G et al. Endoscopic closure of GI fistulae by using an over-the-scope clip (with videos).  Gastrointest ­Endosc. 2010;  72 1289-1296
• 37 von Renteln D, Rudolph H U, Schmidt A et al. Endoscopic closure of duodenal perforations by using an over-the-scope clip: a randomized, controlled porcine study.  Gastrointest Endosc. 2010;  71 131-138
• 38 von Renteln D, Schmidt A, Vassiliou M C et al. Natural orifice transluminal endoscopic surgery gastrotomy closure with an over-the-endoscope clip: a randomized, controlled porcine study (with videos).  Gastro­intest Endosc. 2009;  70 732-739
• 39 von Renteln D, Schmidt A, Vassiliou M C et al. Endoscopic full-thickness resection and defect closure in the colon.  Gastrointest Endosc. 2010;  71 1267-1273
• 40 von Renteln D, Schmidt A, Vassiliou M C et al. Endoscopic closure of large colonic perforations using an over-the-scope clip: a randomized controlled porcine study.  Endoscopy. 2009;  41 481-486
• 41 von Renteln D, Vassiliou M C, Rothstein R I. Randomized controlled trial comparing endoscopic clips and over-the-scope clips for closure of natural orifice transluminal endoscopic surgery gastrotomies.  Endoscopy. 2009;  41 1056-1061

1 * equal contribution