CURRENT STATUS OF THE OVER-THE-SCOPE CLIP SYSTEM

DOI 3 Citations
  • NISHIYAMA Noriko
    Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University.
  • MORI Hirohito
    Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University.
  • KOBARA Hideki
    Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University.
  • MASAKI Tsutomu
    Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University.

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  • 消化管壁全層縫合器Over-The-Scope Clip（OTSC）システムの現状と課題

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Refractory gastrointestinal (GI) diseases involving bleeding, perforations, fistulas and postoperative leakages have mainly required invasive surgery. In consideration of the aging society in Japan, minimally invasive therapy with endoscopic approach may be desirable. A newly-developed, endoscopic full-thickness suturing device, called the “Over-The-Scope Clip (OTSC)”, was clinically introduced in Western countries in 2009. The OTSC has an advantage over conventional devices like hemoclips in terms of grasping and applying persistent force on the target tissue. Currently, the efficacy of the OTSC system has been widely known since its usage was approved in Japan in 2011. Although the OTSC is still challenging to use for the treatment of chronic fistula, the OTSC system provides an excellent clinical outcome for refractory GI diseases. The OTSC, an innovative device, can open a new discipline of minimally invasive endoscopic therapy.

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