• 2015
  • 2015

December 2015 | OTSC is a safe and efficient technique in treatment of colorectal postsurgical leaks and fistulas

Bonino MA, Verra M, Salvai A, Bullano A, Rapetti L, Arezzo A and Morino M, Department of Surgical Sciences, University of Turin, Italy, reported at the 20th National Congress of Digestive Diseases in Napoli, Italy, March 19th-22nd 2014, about a prospective study including 26 patients treated with OTSC for postsurgical leaks and fistulas of the colorectum.Anastomotic leakage is a feared and serious complication in colorectal surgery associated with increased morbidity and mortality. The prevalence in literature ranges from 1 to 39%, whereas clinically relevant leaks commonly occur in 3-6%.

Out of 26 consecutive patients treated with OTSC in this study, 10 patients suffered from acute and 16 patients from chronic leaks (fistulas). The mean defect diameter was 8.7 mm. 14 cases were complicated by recto-vaginal, recto-vesical or colo-cutaneous fistula. In 3 cases OTSC was used to complete endoscopic vacuum-assisted closure of large defects.

The overall success rate was 77% (20/26): 90% (9/10) in acute and 69% (11/16) in chronic cases. No OTSC-related complications occurred in the study. Further surgery was required in two cases.

The authors conclude that the endoscopic OTSC closure of colorectal postsurgical leaks is a safe technique with a high success rate in acute and chronic cases, including the treatment of fistulas.

Efficacy of the Over-the-Scope Clip (OTSC) for treatment of colorectal postchirurgical leaks and fistulas.
Bonino MA, Verra M, Salvai A, Bullano A, Rapetti L, Arezzo A and Morino M (2014)

20th National Congress of Digestive Diseases, Napoli, Italy, March 19-22 2014

OTSC research & clinical trials update

Link to OTSC research & clinical trials update which states all publications with an abstract.
     Version 22 is sorted by indications. (Letter format)
     Version 21 is sorted by date. (Letter format)