Evidence map›Paper›PMID 32655272›Full record

SynthesisWorld journal of gastroenterology2020

Clinical efficacy of the over-the-scope clip device: A systematic review.

Nicholas Bartell, Krystle Bittner, Vivek Kaul, Truptesh H Kothari, Shivangi Kothari

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in World journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Article
  8. Review
  9. Review
  10. Expanded options for removal of an old over-the-scope clip.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Nicholas BartellDivision of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, NY 14642, United States.
Krystle BittnerDivision of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, NY 14642, United States.
Vivek KaulDivision of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, NY 14642, United States.
Truptesh H KothariDivision of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, NY 14642, United States.
Shivangi KothariDivision of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, NY 14642, United States. shivangi_kothari@urmc.rochester.edu.
University of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe over-the-scope clip (OTSC) system has been increasingly utilized as a non-surgical option to endoscopically manage refractory gastrointestinal (GI) hemorrhage, perforations/luminal defects and fistulas. Limited data exist evaluating the efficacy and safety of OTSC.

aimTo determine the clinical success and adverse event (AE) rates of OTSC across all GI indications.

methodsA PubMed search was conducted for eligible articles describing the application of the OTSC system for any indication in the GI tract. Any article or case series reporting data for less than 5 total patients was excluded. The primary outcome was the rate of clinical success. Secondary outcomes included: Technical success rate, OTSC-related AE rate and requirement for surgical intervention despite-OTSC placement. Pooled rates (per-indication and overall) were calculated as the number of patients with the event of interest divided by the total number of patients.

resultsA total of 85 articles met our inclusion criteria (

conclusionThis systematic review demonstrates that the OTSC system is a safe and effective endoscopic therapy to manage GI hemorrhage, perforations, anastomotic leaks, defects created by endoscopic resections and for stent fixation. Clinical success in fistula management appears limited. Further studies, including randomized controlled trials comparing OTSC with conventional and/or surgical therapies, are needed to determine which indication(s) are the most effective for its use.

Indexed as

Endoscopy, GastrointestinalGastrointestinal HemorrhageAnastomotic LeakHumansRetrospective StudiesStentsSurgical InstrumentsTreatment OutcomeAnastomotic leakEndoscopic resectionFistula closureHemostasisOver-the-scope clipOvesco EndoscopyPerforation

Identifiers

PMID32655272
PMCPMC7327783
OpenAlexW3037231267

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.