ArticleObesity surgery2015
Over-the-Scope Clip (OTSC) System for Sleeve Gastrectomy Leaks.
Article in Obesity surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 6 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 6 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Endoscopic Treatment of Staple-Line Leaks After Sleeve Gastrectomy in Patients with Obesity: Which One is the Best Option, if Any? A Systematic Review with Meta-Analysis and Meta-regression.Obesity surgery · 2025Pooled it
- Endoscopic closure techniques of bariatric surgery complications: a meta-analysis.Surgical endoscopy · 2024Pooled it
- Endoscopic management of leaks and fistulas after bariatric surgery: a systematic review and meta-analysis.Surgical endoscopy · 2021Pooled it
- Clinical efficacy of the over-the-scope clip device: A systematic review.World journal of gastroenterology · 2020Pooled it
- Management of Staple Line Leaks Following Sleeve Gastrectomy-a Systematic Review.Obesity surgery · 2019Pooled it
- Efficacy and Safety of the Over-the-Scope Clip (OTSC) System in the Management of Leak and Fistula After Laparoscopic Sleeve Gastrectomy: a Systematic Review.Obesity surgery · 2017Pooled it
- Early and Late Complications After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass: A Narrative Review.Journal of metabolic and bariatric surgery · 2026Review
- Endoscopic Management of Post-Bariatric Surgery Complications: Diagnostic Work-Up and Innovative Approaches for Leak, Fistula, and Stricture Management.Diagnostics (Basel, Switzerland) · 2026Review
- Article
- Endoscopic Administration of Combined Autologous Mesenchymal Stem Cells and Platelet-Rich Plasma for the Treatment of Gastric Staple Line Leaks After Sleeve Gastrectomy.Obesity surgery · 2024Article
- Minimally invasive management of sleeve gastrectomy collection with a nasobiliary drainage tube.Journal of surgical case reports · 2023Article
- Endoscopic treatment of upper gastrointestinal postsurgical leaks: a narrative review.Clinical endoscopy · 2023Review
- Endoscopic management of refractory leaks and fistulas after bariatric surgery with long-term follow-up.Surgical endoscopy · 2021Article
- Staple Line Leaks Following Laparoscopic Sleeve Gastrectomy: Low Efficacy of the Over-the-Scope Clip.Obesity surgery · 2021Article
- Use of over-the-scope clip for ulcer hemostasis after failure of both surgery and interventional therapy: A case report.Medicine · 2020Article
- Endoscopic management of post-surgical GI wall defects with the overstitch endosuturing system: a single-center experience.Surgical endoscopy · 2020Observational
- Treatment of Persistent Leaks After Laparoscopic Sleeve Gastrectomy with the Simultaneous Over-the-Scope Clip (OTSC) and Mega Stent Strategy.Obesity surgery · 2020Article
- Short-term outcomes of the over-the-scope clip proctology system for rectovaginal fistula repair: a prospective study.Techniques in coloproctology · 2019Article
- A novel fully covered double-bump stent for staple line leaks after bariatric surgery: a retrospective analysis.Surgical endoscopy · 2018Article
- Endoscopic Abscess Septotomy for Management of Sleeve Gastrectomy Leak.Obesity surgery · 2017Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic sleeve gastrectomy (LSG) is currently being widely accepted for its role in the treatment of morbid obesity. Staple-line leakage is one of the most reported complications found in 0.5-7 % of the population, in which the Over-the-Scope Clip (OTSC) (Ovesco Endoscopy, Tübingen, Germany), a novel device, is employed. We present our experience with this system in LSG leaks.
methodsA retrospective analysis of prospectively collected data from patients with LSG leakage was performed, and these patients were treated with the OTSC system. Efficiency was defined as complete oral nutrition without any evidence of additional leakage.
resultsOverall, 26 patients underwent endoscopic OTSC treatment. The median age was 39 years (range 26-60), and 12 were male patients (46.15 %). The mean body mass index (BMI) was 42.89 kg/m(2), and 10 patients (38.46 %) came from a revisional bariatric procedure (SRVG or LAGB). Twenty-two patients (84.61 %) had upper staple-line leaks (near the GEJ), and the remaining 4 (15.38 %) had lower antral leaks. Number of endoscopy sessions ranged from 2 to 7 (median 3). There were five failures: 2 of them had an antral leak, and the remaining 3 had an upper staple-line leak. Twenty-one (80.76 %) leaks were successfully treated within 32 days' median time till complete oral nutrition was attained (range 14-70).
conclusionsThe success rate was high with the OTSC system, and it is concluded to be a safe and effective treatment for LSG leaks.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.