Table 1.
Demographic data, indications, lesion sizes, interventions and successes/outcomes of 21 patients treated with over-the-scope-clip
| No. | Sex | Age (yr) | Indication | Lesion size (mm) | OTSC type | Twin grasper (T) Anchor (A) | Technical success | Clinical success | 2nd OTSC | Clinical success after 2nd OTSC |
| 1 | M | 59 | Right-sided colocutaneous fistula with abscess | 5 | 14/6 | - | Y | Y | N | |
| 2 | M | 42 | Fibrotic cardiac fistula with recurrent infections after gastric sleeve surgery, 21 mo prior | 2 | 12/3a 12/6a | T | N | N | 12/6a | Y |
| 3 | M | 70 | 2 anastomotic leakages 3 wk after low anterior resection of adenocarcinoma | Each 20 | 3 clips | A | N | Same session | Y | |
| 4 | F | 63 | PEG gastrostomy closed due to secondary peritonitis | 5 | 1 clip | A | Y | Y | N | |
| 5 | M | 71 | Ileorectal anastomotic leakage after colectomy 6 mo prior, due to stenosing chronic diverticulitis | 7 | 14/6 | A | Y | N | N | |
| 6 | F | 62 | Anastomotic leakage after right hemicolectomy | 3 | 12/6a | - | Y | Y | N | |
| 7 | M | 60 | Anastomotic leakage 6 wk after low anterior resection | 5 | 12/6a | A | Y | Y | N | |
| 8 | F | 59 | 2 rectoabdominocutaneous fistulae after small and large bowel resections with rectal stump in Crohn’s disease | Each 2 × 2 | 14/6a | A | Y | N | 14/6a | Y |
| 9 | M | 55 | Gastrocutaneous fistula after PEG tube removal 7 days prior | 20 × 5 | - | - | Not amenable due to esophageal stenosis | |||
| 10 | F | 47 | Gastrocutaneous fistula after gastric sleeve resection | 6 | 2 × 11/6a | A | Y | Y | N | |
| 11 | M | 45 | Infected gastrocutaneous fistula after PEG tube removal | 2 | 11/6a | - | Y | Y | N | |
| 12 | F | 67 | Fistula of the rectum and abscess in the small pelvis after surgery | 8 | 12/6a | T + A | Y | N | 2 × 12/3a | N |
| 13 | M | 84 | Anastomotic leakage after ileosigmoidostomy | 8 | 12/6t | A | Y | Y | N | |
| 14 | M | 51 | Endoscopic unroofing of a submucosal antral tumor for biopsy | 10 | 12/6gc | - | Y | Y | N | |
| 15 | F | 82 | Infected gastrocutaneous fistula after PEG tube removal | 3 | 12/6gc | - | Y | Y | N | |
| 16 | M | 85 | Gastrocolic migration of PEG tube | 4 | 12/6a | - | Y | Y | N | |
| 17 | M | 63 | Anastomotic leakage after colorectal resection | 5 | 12/6t | - | Y | Y | N | |
| 18 | M | 59 | Endoscopic unroofing of a submucosal gastric tumor for biopsy (Figure 3) | 15 | 12/6gc | - | Y | Y | N | |
| 19 | F | 81 | Dieulafoy lesion, Forrest Ia; known achalasia | 8 | 12/6t | - | Y | Y | N | |
| 20 | M | 68 | Fixation of esophageal stent | - | 11/6a | - | Y | Y | N | |
| 21 | M | 71 | Fistula between colon and rectal stump after Hartmann procedure due to rectal cancer | 15 | 12/6a | A | Y | N | Y | N |
No. 12: In the first session, the anal stenosis did not allow passage of the colonoscope with the mounted OTSC system; No. 16: Combined with colonoscopic removal of the PEG tube; No. 20: After endoscopic removal of the dislocated esophageal stent. History of aortoesophageal fistula, mediastinitis, and thoracic endovascular aortic repair 1 mo prior; No. 21: Further failure with 12/6a and 12/6gc. OTSC: Over-the-scope-clip; PEG: Percutaneous endoscopic gastrostomy; M: Male; F: Female.