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doi:10.22028/D291-36343
Title: | Gastrointestinal: Utilization of a novel dedicated stent fixation clip device ("stentfix OTSC") for an umbrella-type cardia stent |
Author(s): | Zimmer, V. |
Language: | English |
Title: | Journal of Gastroenterology and Hepatology |
Volume: | 35 |
Issue: | 9 |
Pages: | 1466-1466 |
Publisher/Platform: | Wiley |
Year of Publication: | 2020 |
DDC notations: | 610 Medicine and health |
Publikation type: | Journal Article |
Abstract: | Palliative self-expanding metal stent has become commonplace in clinical endoscopy in patients with metastatic esophageal cancer and/or poor functional status, precluding tumor-specific treatment options. While the endoscopic procedure is generally considered safe, short- and long-term efficacy is threatened, e.g., by stent migration. In recent years, data are accumulating suggesting that clip fixation, e.g. on the over-the-scope-clip (OTSC) platform, may reduce this specific complication and may, thus, become a new routine in gastrointestinal stent treatment. To this end, a novel specific clip fixation device (stentfix OTSC, Ovesco Endoscopy AG, Tübingen, Germany) has been introduced with a distinct clip design with indentations in the application cap and clip brackets bowed to the outside to better engage stent ends (Fig. 1a) This is the clinical case of a 96-year-old female patient with a 60 mm malignant distal esophageal stenosis with the main tumor mass at the cardia itself. Histopathology confirmed an adenocarcinoma of the esophagogastric junction (AEG, Siewert type 1). We chose a partially covered umbrella-type cardia self-expanding metal stent (100 × 24 mm, Leufen, Berlin, Germany). After conventional placement, the stentfix OTSC was applied to the proximal stent rim (Fig. 1b), and retroflexed endoscopic view within a large hiatal hernia confirmed optimal stent position by endoscopy (Fig. 1c) and fluoroscopy (Fig. 1d). |
DOI of the first publication: | 10.1111/jgh.14993 |
URL of the first publication: | https://onlinelibrary.wiley.com/doi/10.1111/jgh.14993 |
Link to this record: | urn:nbn:de:bsz:291--ds-363433 hdl:20.500.11880/33007 http://dx.doi.org/10.22028/D291-36343 |
ISSN: | 1440-1746 0815-9319 |
Date of registration: | 2-Jun-2022 |
Faculty: | M - Medizinische Fakultät |
Department: | M - Innere Medizin |
Professorship: | M - Keiner Professur zugeordnet |
Collections: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
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