- Hipokrat Tıp Dergisi
- Vol: 3 Issue: 2
- Efficacy of the endoscopic clip method in patients treated with the endoscopic clip method for gastr...
Efficacy of the endoscopic clip method in patients treated with the endoscopic clip method for gastrointestinal bleeding, perforations and fistulas : One Center Experience
Authors : Alpaslan Fedayi ÇALTA
Pages : 48-53
Doi:10.58961/hmj.1315679
View : 20 | Download : 44
Publication Date : 2023-08-21
Article Type : Research Article
Abstract :Introduction:Gastrointestinal bleeding, perforations and fistulas are common conditions and can betreated with endoscopic procedures that are considered as minimally invasive procedures. With theintroduction of ovarian thescope clips (OTSC), the success of the procedure is increasing and its use isrecommended as the first step in treatment modalities. This study aims to contribute to the literatüre and share our experiences. Methods:Between 2020 and 2023, 21 patients who underwent endoscopic clipapplication after gastrointestinal tract perforations, anastomotic leaks, fistulas, bleeding andendomucosal resection in our clinic were evaluated. Results:A total of 21 patients, 13 males (61.9%), were included in our study. There were 16 patientsin the bleeding group, one in the anatomical leak group, one in the fistula group and three in theendomucosal resection group. No failure was seen in any patient in the bleeding group.Antithrombotic drug use did not change the success. No surgical procedure was required. At 30-dayfollow-up, only one patient (6.25%) had rebleeding and required reoperation. No complications weredetected in the procedures of endomucosal resection, fistula and clips applied in anastomotic leakage.There was a positive correlation between erythrocyte suspension replacement and length ofhospitalization (p<0.001; p=0.897). However, there was no significant correlation between thenumber of clips used and the duration of hospitalization (p=0.451). Conclusion:The use of over the scope clips is safe and successful in upper and lower gastrointestinaltract bleeding, gastrointestinal tract anastomotic leaks, fistulas and perforations after endomucosalresection.Keywords : Gastrointestinal sistem, Kanama, Perforasyon, Fistül, klip