Novel clip device for prevention of bleeding after endoscopic papillectomy
Abstract Objectives Recently, a novel clip device, SureClip® (Micro‐Tech Co. Ltd., Nanjing, China), has been developed, which improved rotation and reopening performance. We aimed to assess the efficacy of the SureClip® in prophylactic closure of the mucosal break after endoscopic papillectomy (EP)...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-04-01
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| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.51 |
| _version_ | 1818041943233396736 |
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| author | Haruo Miwa Kazuya Sugimori Hiromi Tsuchiya Makoto Sugimori Masaki Nishimura Yuichiro Tozuka Satoshi Komiyama Takeshi Sato Takashi Kaneko Kazushi Numata Shin Maeda |
| author_facet | Haruo Miwa Kazuya Sugimori Hiromi Tsuchiya Makoto Sugimori Masaki Nishimura Yuichiro Tozuka Satoshi Komiyama Takeshi Sato Takashi Kaneko Kazushi Numata Shin Maeda |
| author_sort | Haruo Miwa |
| collection | DOAJ |
| description | Abstract Objectives Recently, a novel clip device, SureClip® (Micro‐Tech Co. Ltd., Nanjing, China), has been developed, which improved rotation and reopening performance. We aimed to assess the efficacy of the SureClip® in prophylactic closure of the mucosal break after endoscopic papillectomy (EP) for ampullary neoplasm. Methods We retrospectively reviewed the medical records of 40 patients who underwent EP for ampullary neoplasms between October 2009 and March 2020. Prophylactic closure after resection was performed using the conventional clip between 2014 and 2018, and with the SureClip® after 2019. The baseline characteristics, techniques, outcomes, and complications of EP were analyzed. Results The median age of the patients (25 males and 15 females) was 70 years. The en block resection rate was 82.5% and the curative resection rate was 80.0%. Histologically, 11 (27.5%) patients had malignancy. Prophylactic closure was performed in 29 (72.5%) patients (17 conventional clips, 12 SureClip®). Complications occurred in 18 (45.0%) patients, including postprocedure bleeding in 9 (22.5%) patients. However, no postprocedure bleeding was observed in the patients who received prophylactic closure using the SureClip® (p = 0.038). All other factors were not significantly correlated with postprocedure bleeding. The duration of hospital stay after EP was significantly shorter in patients treated with the SureClip® compared to those treated with a conventional clip or without clips (p < 0.05). Conclusions In the present study, prophylactic clipping of the mucosal break using the SureClip® was effective in preventing bleeding after EP. |
| first_indexed | 2024-12-10T08:38:27Z |
| format | Article |
| id | doaj.art-bad6e6a7dc0b48b0b47adfd9827e8248 |
| institution | Directory Open Access Journal |
| issn | 2692-4609 |
| language | English |
| last_indexed | 2024-12-10T08:38:27Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj.art-bad6e6a7dc0b48b0b47adfd9827e82482022-12-22T01:55:54ZengWileyDEN Open2692-46092022-04-0121n/an/a10.1002/deo2.51Novel clip device for prevention of bleeding after endoscopic papillectomyHaruo Miwa0Kazuya Sugimori1Hiromi Tsuchiya2Makoto Sugimori3Masaki Nishimura4Yuichiro Tozuka5Satoshi Komiyama6Takeshi Sato7Takashi Kaneko8Kazushi Numata9Shin Maeda10Gastroenterological Center Yokohama City University Medical Center Kanagawa JapanGastroenterological Center Yokohama City University Medical Center Kanagawa JapanGastroenterological Center Yokohama City University Medical Center Kanagawa JapanGastroenterological Center Yokohama City University Medical Center Kanagawa JapanGastroenterological Center Yokohama City University Medical Center Kanagawa JapanGastroenterological Center Yokohama City University Medical Center Kanagawa JapanGastroenterological Center Yokohama City University Medical Center Kanagawa JapanGastroenterological Center Yokohama City University Medical Center Kanagawa JapanGastroenterological Center Yokohama City University Medical Center Kanagawa JapanGastroenterological Center Yokohama City University Medical Center Kanagawa JapanDepartment of Gastroenterology Graduate School of Medicine, Yokohama City University Kanagawa JapanAbstract Objectives Recently, a novel clip device, SureClip® (Micro‐Tech Co. Ltd., Nanjing, China), has been developed, which improved rotation and reopening performance. We aimed to assess the efficacy of the SureClip® in prophylactic closure of the mucosal break after endoscopic papillectomy (EP) for ampullary neoplasm. Methods We retrospectively reviewed the medical records of 40 patients who underwent EP for ampullary neoplasms between October 2009 and March 2020. Prophylactic closure after resection was performed using the conventional clip between 2014 and 2018, and with the SureClip® after 2019. The baseline characteristics, techniques, outcomes, and complications of EP were analyzed. Results The median age of the patients (25 males and 15 females) was 70 years. The en block resection rate was 82.5% and the curative resection rate was 80.0%. Histologically, 11 (27.5%) patients had malignancy. Prophylactic closure was performed in 29 (72.5%) patients (17 conventional clips, 12 SureClip®). Complications occurred in 18 (45.0%) patients, including postprocedure bleeding in 9 (22.5%) patients. However, no postprocedure bleeding was observed in the patients who received prophylactic closure using the SureClip® (p = 0.038). All other factors were not significantly correlated with postprocedure bleeding. The duration of hospital stay after EP was significantly shorter in patients treated with the SureClip® compared to those treated with a conventional clip or without clips (p < 0.05). Conclusions In the present study, prophylactic clipping of the mucosal break using the SureClip® was effective in preventing bleeding after EP.https://doi.org/10.1002/deo2.51ampullary neoplasmsbleeding endoscopyendoscopic papillectomyprophylactic clipping |
| spellingShingle | Haruo Miwa Kazuya Sugimori Hiromi Tsuchiya Makoto Sugimori Masaki Nishimura Yuichiro Tozuka Satoshi Komiyama Takeshi Sato Takashi Kaneko Kazushi Numata Shin Maeda Novel clip device for prevention of bleeding after endoscopic papillectomy DEN Open ampullary neoplasms bleeding endoscopy endoscopic papillectomy prophylactic clipping |
| title | Novel clip device for prevention of bleeding after endoscopic papillectomy |
| title_full | Novel clip device for prevention of bleeding after endoscopic papillectomy |
| title_fullStr | Novel clip device for prevention of bleeding after endoscopic papillectomy |
| title_full_unstemmed | Novel clip device for prevention of bleeding after endoscopic papillectomy |
| title_short | Novel clip device for prevention of bleeding after endoscopic papillectomy |
| title_sort | novel clip device for prevention of bleeding after endoscopic papillectomy |
| topic | ampullary neoplasms bleeding endoscopy endoscopic papillectomy prophylactic clipping |
| url | https://doi.org/10.1002/deo2.51 |
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