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Related Experiment Video

Updated: Apr 19, 2026

Sleeve Gastrectomy in Mice using Surgical Clips

Sleeve Gastrectomy in Mice using Surgical Clips

Published on: November 14, 2020

Over-the-Scope Clip (OTSC) System for Sleeve Gastrectomy Leaks.

D Keren¹, O Eyal, G Sroka

¹Department of Gastroenterology, Bnai-Zion Medical Center, affiliated with Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel, dr.deankeren@gmail.com.

Obesity Surgery

|December 17, 2014

Summary

This summary is machine-generated.

The Over-the-Scope Clip (OTSC) system effectively treats staple-line leaks after laparoscopic sleeve gastrectomy (LSG). This novel endoscopic approach offers a safe and successful solution for managing this common bariatric surgery complication.

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Area of Science:

Bariatric Surgery
Gastroenterology
Endoscopic Interventions

Background:

Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure for morbid obesity.
Staple-line leaks are a significant complication of LSG, occurring in 0.5-7% of patients.
The Over-the-Scope Clip (OTSC) system is a novel endoscopic device used for managing gastrointestinal defects.

Purpose of the Study:

To evaluate the efficacy and safety of the Over-the-Scope Clip (OTSC) system in treating staple-line leaks following laparoscopic sleeve gastrectomy (LSG).

Main Methods:

A retrospective analysis of prospectively collected data from patients who underwent endoscopic OTSC treatment for LSG leaks.
Efficacy was defined as achieving complete oral nutrition without evidence of additional leakage.

Main Results:

Twenty-six patients were treated with the OTSC system for LSG leaks.
The median age was 39 years, with a mean BMI of 42.89 kg/m².
Eighty-four percent of leaks were upper staple-line leaks near the gastroesophageal junction.
Twenty-one patients (80.76%) achieved successful treatment, reaching complete oral nutrition within a median of 32 days.
Five treatment failures occurred (two with lower antral leaks, three with upper staple-line leaks).

Conclusions:

The Over-the-Scope Clip (OTSC) system demonstrates a high success rate in treating staple-line leaks after laparoscopic sleeve gastrectomy.
The OTSC system is concluded to be a safe and effective endoscopic treatment option for LSG leaks.