Endoscopic Management with a Novel Over-The-Scope Padlock Clip System
Clinical Endoscopy
;
: 574-580, 2019.
Article
in English
| WPRIM
| ID: wpr-785667
ABSTRACT
BACKGROUND/AIMS:
The Padlock clip is a recently introduced over-the-scope clip (OTSC) that requires the use of an alternate technique and has a different design from previous OTSCs. However, data regarding its clinical use are limited. The aim of this study is to present our clinical experience using this novel Padlock clip system.METHODS:
Between September 2018 and June 2019, 7 consecutive patients underwent Padlock clip application at our center by an experienced endoscopist. A Padlock clip was used for achieving hemostasis in 4 patients presenting with gastrointestinal (GI) bleeding, as well as for endoscopic full-thickness resection in the remaining 3 patients.RESULTS:
All 7 patients achieved technical as well as clinical success, with absence of complications or rebleeding, during a follow-up of a minimum of 3 weeks. All patients were hospitalized post procedure for a minimum of 48 hours, and an absence of adverse events was noted in our patient population throughout the procedure and post-procedure period. Antiplatelet therapy was reinstated shortly after the application of the Padlock clip, with no GI bleeding observed.CONCLUSIONS:
The Padlock clip is a novel OTSC, with benefits that include safe, simple, and rapid deployment. Antiplatelet therapy may be reinstated for patients, when necessary, shortly after applying the Padlock clip due to full-thickness closure of the tissue.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Follow-Up Studies
/
Hemorrhage
/
Gastrointestinal Hemorrhage
/
Hemostasis
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Clinical Endoscopy
Year:
2019
Type:
Article
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