Complications with Over the Scope Clip: How Can We Prevent It?

Gastrointest Endosc Clin N Am. 2020 Jan;30(1):75-89. doi: 10.1016/j.giec.2019.08.003. Epub 2019 Oct 18.

Abstract

The over-the-scope clip is safe and efficacious and has become the preferred device of choice for the treatment of complex gastrointestinal bleeding, perforation, and gastrointestinal leaks. With its widespread adoption in clinical practice, information on complications associated with over-the-scope clip use is emerging. Nonetheless, the overall complication rate is still very low. Most of the reported complications have been related to the technique rather than the actual device and could likely be prevented with proper technique. In this article, the authors summarize the complications associated with over-the-scope clip use and provide guidance on safety measure to mitigate them.

Keywords: Complication; Misplacement; Over the scope clip; Safety tips; Treatment failure.

Publication types

  • Review

MeSH terms

  • Endoscopy, Gastrointestinal / instrumentation*
  • Equipment Design
  • Gastrointestinal Hemorrhage / surgery
  • Humans
  • Intestinal Perforation / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control*
  • Surgical Instruments / adverse effects*
  • Treatment Outcome