remOVE System – Case report shows successful clip removal in duodenum

remOVE System successfully removes misplaced OTSC® clip from the duodenal papilla via duodenoscope, resolving bile duct obstruction without mucosal injury

Key findings

• Successful removal of misplaced OTSC® clip from papillary position
• Duodenoscope elevator provided sufficient pressure for effective clip contact and cutting
• Bipolar direct current application caused no significant mucosal lesions
• Immediate restoration of bile flow after clip removal
• Uneventful recovery without bleeding complications

Study details

• Type: Single case report (2024)
• Case: 75-year-old male patient with cholestasis after OTSC® clip placement for duodenal ulcer bleeding
• Aim: Demonstration of safe OTSC® clip removal in second part of duodenum using remOVE DC Cutter via duodenoscope
• Indication: Misplaced OTSC® clip around papilla with common bile duct compression

Triller C. Case Report: Removal of duodenal over-the-scope clip via duodenoscope. Endoscopy. 2024;56(S 02): S293-S294. doi:10.1055/s-0044-1783393.

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