Observational Study
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World J Gastroenterol. Nov 21, 2014; 20(43): 16287-16292
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16287
Multipurpose use of the over-the-scope-clip system (“Bear claw”) in the gastrointestinal tract: Swiss experience in a tertiary center
Michael Christian Sulz, Reto Bertolini, Remus Frei, Gian-Marco Semadeni, Jan Borovicka, Christa Meyenberger
Michael Christian Sulz, Reto Bertolini, Remus Frei, Gian-Marco Semadeni, Jan Borovicka, Christa Meyenberger, Division of Gastroenterology and Hepatology, 9007 Gallen, Switzerland
Author contributions: Sulz MC designed the study together with Frei R and Semadeni GM; all authors provided data; Sulz MC and Bertolini R analysed and interpreted the data and wrote the manuscript; Borovicka J and Meyenberger C interpreted the data, revised the manuscript and approved the final version.
Correspondence to: Michael Christian Sulz, MD, Division of Gastroenterology and Hepatology, Kantonsspital St. Gallen, Rorschacher Strasse 95, 9007 Gallen, Switzerland. michael.sulz@kssg.ch
Telephone: +41-71-4941245 Fax: +41-71-4942862
Received: May 16, 2014
Revised: June 21, 2014
Accepted: July 15, 2014
Published online: November 21, 2014
Core Tip

Core tip: In this prospective case series, we report the outcome of the over-the-scope-clip system (OTSC) in endoscopic treatment of various indications, including closing fistulae and repairing anastomotic leakages in daily clinical practice in Switzerland. The OTSCs (n = 28) were applied in 21 patients. Primary technical and clinical success rates were 85% and 67%, respectively. No complications were observed related to endoscopy or OTSC. OTSC is a useful tool for endoscopic closure of various gastrointestinal lesions.