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Complications with Over the Scope Clip: How Can We Prevent It?
Ravishankar Asokkumar1, Yung-Ka Chin2, Roy Soetikno3
1Department of Gastroenterology and Hepatology, Singapore General Hospital, 20, College Road, Singapore 169586; Bariatric Endoscopy Unit, HM Sanchinarro University Hospital, Madrid, Spain.
Gastrointestinal Endoscopy Clinics of North America
|November 20, 2019
Summary
The over-the-scope clip (OTSC) is a safe and effective tool for gastrointestinal issues. Most complications are technique-related and preventable with proper training.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- The over-the-scope clip (OTSC) is increasingly used for complex gastrointestinal conditions.
- Information on OTSC-related complications is becoming available.
Purpose of the Study:
- To summarize complications associated with over-the-scope clip use.
- To provide guidance on safety measures to mitigate these complications.
Main Methods:
- Review of emerging literature on over-the-scope clip complications.
- Analysis of complication types and their relation to device versus technique.
Main Results:
- The overall complication rate of OTSC use remains very low.
- Most reported complications are linked to procedural technique, not the device itself.
Conclusions:
- Over-the-scope clip is safe and effective for gastrointestinal bleeding, perforation, and leaks.
- Proper technique is crucial for preventing complications and ensuring patient safety.
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