Applicability, efficacy and safety of over-the-scope clips in children

Over-the-scope clips (OTSCs) are now becoming popular in endoscopy performed in adults for indications such as acute nonvariceal gastrointestinal bleeding, anastomotic bleeding, and for closure of gastrocutaneous and postgastrostomy fistulae. Varied sizes of clip are available but even the smallest, which is 8.5 to 9.8mm in diameter with its loading device on the tip of the endoscope, increases the device and endoscope intubation diameter up to 14.65mm. This may present challenges in terms of the size of the patient in whom it might be used.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research