Findings from Judith Liebentraut and Co-Researchers Advance Knowledge in Endoscopy (Use of over-the-scope clips in the colon in clinical practice: results from a German administrative database)

2020 SEP 16 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- A new study on Surgical Procedures - Endoscopy is now available. According to news originating from Hamburg, Germany, by NewsRx correspondents, research stated, “The efficacy and safety of over-the-scope (OTS) clips in the colon is limited. This study aimed to evaluate OTS clip use in the colon in routine colonoscopy.”

Our news journalists obtained a quote from the research, “Using administrative data from a large health insurance company, patients with OTS clip placement during colonoscopy were identified and analyzed by specific administrative codes. Indication for OTS clipping was analyzed, and follow-up was evaluated for surgical and repeat endoscopic interventions. In 505 patients, indications for OTS clips were iatrogenic perforations (n=80; Group A), polypectomy (n=315; Group B), colonic bleeding (n=51; Group C), and various underlying diseases (n=59; Group D). In 11 Group A patients (13.8 %), surgical interventions occurred, mostly within 24 hours after clipping (n=9), predominantly overstitching (n=8). OTS clipping during polypectomy (Group B) was for complications (e. g. bleeding in 27 %) or was applied prophylactically. Only five patients required early surgery, three of whom had colorectal cancer. In four Group C patients (7.8 %), surgical resections were performed (persistent bleeding n=1, colorectal cancer n=2), while six patients underwent early repeat colonoscopy for recurrent bleeding. During further follow-up (days 11-30), 17 patients underwent resection for colonic neoplasms (n=12) or persistent bleeding (n=4), but only one case could be directly traced back to local OTS clip complication.”

According to the news editors, the research concluded: “Colonic OTS clipping appears safe and effective in selected indications and complications in clinical routine but must be anatomically and technically feasible, avoiding overuse.”

For more information on this research see: Use of over-the-scope clips in the colon in clinical practice: results from a German administrative database. Endoscopy, 2020;():. Endoscopy can be contacted at: Georg Thieme Verlag kg, Rudigerstr 14, D-70469 Stuttgart, Germany. (Thieme - www.thieme.com)

The news correspondents report that additional information may be obtained from Judith Liebentraut, Techniker Krankenkasse, Hamburg, Germany. Additional authors for this research include Dirk Horenkamp-Sonntag, Susanne Engel, Christoph Skupnik, David Albers, Brigitte Schumacher and Herbert Koop.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1055/a-1206-0778. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

The publisher’s contact information for the journal Endoscopy is: Georg Thieme Verlag kg, Rudigerstr 14, D-70469 Stuttgart, Germany.

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