ArticleWorld journal of gastrointestinal endoscopy2025
Detachable over-the-scope clip for colon defects in the trans intestinal natural orifice transluminal endoscopic cholecystolithotomy: A case report.
Article in World journal of gastrointestinal endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSecure transluminal closure remains a fundamental barrier to endoscopic surgery. It has been reported that through-the-scope clips were used to secure the incision of the gallbladder during natural orifice transluminal endoscopic cholecystolithotomy and were left in the body post-operation. The over-the-scope clip (OTSC) is favored for its rapid deployment and strong anchoring capabilities. Nevertheless, OTSCs are difficult to remove once implanted. The Senscure Biotechnology in China has developed a detachable over-the-scope clip (D-OTSC) for this purpose. Here, we utilized the D-OTSC to successfully close a full-thickness sigmoid defect exceeding 1 cm in diameter. Subsequently, the clip was completely removed postoperatively, yielding favorable clinical outcomes. CASE SUMMARY: We present the case of a 51-year-old female patient who underwent natural orifice transluminal endoscopic cholecystolithotomy. The sigmoid incision was closed using a D-OTSC. Postoperative recovery was uneventful, with no abdominal infection or bleeding. The D-OTSC was subsequently removed
conclusionThe utilization of D-OTSC presents a viable option for closing colonic mucosal incisions ranging from 1 cm to 2 cm.
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