Surgical endoscopy · 2025
Through-the-scope twin clip for endoscopic closure of gastrointestinal defects: efficacy, safety, and factors influencing closure speed.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Li Chenyang, Chen Chao, Huang Fuxiu, Zhang Ningning, Wang Tao, Xu Yan, Xu Zhongrui, Zhao Hui, Liang Zhimin, Li Shuling, Feng Yujie
Аннотация
BACKGROUND AND AIMS: This study aimed to evaluate the efficacy, safety, and factors influencing closure speed of the through-the-scope twin clip (TTS-TC) for endoscopic defect closure.
METHODS: A retrospective observational study was conducted at a single center, involving patients who underwent endoscopic closure using the TTS-TC from December 2022 to December 2024.
RESULTS: TTS-TC was successfully deployed in all 78 patients, yielding a complete closure rate of 98.7% (78/79 defects). The median defect area was 10.5 (6.3-15.8) cm2. Median procedure time was 15.0 (10.0-19.0) min, corresponding to a median closure speed of 0.73(0.45, 1.07) cm2/min. Univariate and multivariate analyses identified operator experience and defect area as independent factors of closure speed. Early complications included local peritonitis in 3.8% (3/78) and infection in 1.3% (1/78); delayed bleeding and long-term adverse events did not occur.
CONCLUSIONS: The TTS-TC emerges as a promising tool for the closure of diverse gastrointestinal defects, offering a new dimension in endoscopic management.
METHODS: A retrospective observational study was conducted at a single center, involving patients who underwent endoscopic closure using the TTS-TC from December 2022 to December 2024.
RESULTS: TTS-TC was successfully deployed in all 78 patients, yielding a complete closure rate of 98.7% (78/79 defects). The median defect area was 10.5 (6.3-15.8) cm2. Median procedure time was 15.0 (10.0-19.0) min, corresponding to a median closure speed of 0.73(0.45, 1.07) cm2/min. Univariate and multivariate analyses identified operator experience and defect area as independent factors of closure speed. Early complications included local peritonitis in 3.8% (3/78) and infection in 1.3% (1/78); delayed bleeding and long-term adverse events did not occur.
CONCLUSIONS: The TTS-TC emerges as a promising tool for the closure of diverse gastrointestinal defects, offering a new dimension in endoscopic management.