Evidence map›Paper›PMID 32908852›Full record

SynthesisCanadian journal of gastroenterology & hepatology2020

Methods for Endoscopic Removal of Over-the-Scope Clip: A Systematic Review.

Ying Hua Ou, Wei Fang Kong, Li Fu Li, Pei Sheng Chen, San Hua Deng, Feng Jian He, Qian Qian Peng, Hui Yue

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Canadian journal of gastroenterology & hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. 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
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Endoscopic management of an iatrogenic gastroesophageal junction obstruction caused by an over-the-scope clip.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Exposed endoscopic full-thickness resection and overstitch suture after incomplete nonexposed endoscopic full-thickness resection.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

8 authors at 1 institution in 1 country.

Ying Hua OuDepartment of Gastroenterology and Hepatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630 Guangdong Province, China.
Wei Fang KongDepartment of Gastroenterology and Hepatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630 Guangdong Province, China.
Li Fu LiDepartment of Gastroenterology and Hepatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630 Guangdong Province, China.
Pei Sheng ChenDepartment of Gastroenterology and Hepatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630 Guangdong Province, China.
San Hua DengDepartment of Gastroenterology and Hepatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630 Guangdong Province, China.
Feng Jian HeDepartment of Gastroenterology and Hepatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630 Guangdong Province, China.
Qian Qian PengDepartment of Gastroenterology and Hepatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630 Guangdong Province, China.
Hui YueDepartment of Gastroenterology and Hepatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630 Guangdong Province, China.ORCID 0000-0002-6473-2847
Third Affiliated Hospital of Southern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: The over-the-scope clip (OTSC) has recently emerged as a new endoscopic device for treating gastrointestinal bleeding, perforations, fistulas, and leaks. A modified OTSC device (full-thickness resection device, FTRD) has been widely used for endoscopic full-thickness resection. However, there is less experience regarding the indications and methods for OTSC removal. We aimed to summarize the existing methods and indications for OTSC removal. Methods: We searched PubMed, Cochrane Library, and ClinicalTrials.gov to identify relevant publications on OTSC removal. The details of OTSC removal, including the methods, indications, success rates, adverse events, and failure causes, were extracted and summarized. A meta-analysis of pooled success rates was conducted using STATA 15.0. Results: Eighteen articles were included. The reported methods for OTSC removal included (1) grasping forceps, (2) the Nd : YAG laser, (3) argon plasma coagulation, (4) the remOVE system, (5) endoscopic mucosal resection/endoscopic submucosal dissection, and (6) ice-cold saline solution. Indications for OTSC removal were (1) poor healing, (2) OTSC misplacement, (3) repeat biopsy/therapy or further treatment, (4) adverse events after OTSC implantation, (5) removal after recovery, and (6) patient wishes. The pooled success rate of OTSC removal was 89% in patients treated with the remOVE system. Minor bleeding, superficial thermal damage, and superficial mucosal tears were common adverse events. Mucosal overgrowth was the main cause of OTSC removal failure. Conclusions: The remOVE system is the best investigated method, with sufficient efficacy and safety for OTSC removal. This is the first systematic review of OTSC removal and provides significant guidance for clinical practice.

Indexed as

Esophageal and Gastric VaricesEndoscopy, GastrointestinalFemaleGastrointestinal HemorrhageHumansMaleRetrospective StudiesSurgical InstrumentsTreatment Outcome

Identifiers

PMID32908852
PMCPMC7468599
OpenAlexW3080114139

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.