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10.1055/s-0043-105496

http://scihub22266oqcxt.onion/10.1055/s-0043-105496
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C5595576!5595576!28924593
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suck abstract from ncbi


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pmid28924593      Endosc+Int+Open 2017 ; 5 (9): E875-82
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  • Use of the over-the-scope-clip (OTSC) in non-variceal upper gastrointestinal bleeding in patients with severe cardiovascular comorbidities: a retrospective study #MMPMID28924593
  • Wedi E; von Renteln D; Gonzalez S; Tkachenko O; Jung C; Orkut S; Roth V; Tumay S; Hochberger J
  • Endosc Int Open 2017[Sep]; 5 (9): E875-82 PMID28924593show ga
  • Introduction: ?The over-the-scope-clip (OTSC) can potentially overcome limitations of standard clips and achieve more efficient and reliable hemostasis. Data on OTSC use for non-variceal upper gastrointestinal bleeding (NVUGIB) in patients with cardiovascular comorbidities are currently limited. Patients and methods: ?We prospectively collected and retrospectively analyzed our database from February 2009 to September 2015 from all patients who underwent emergency endoscopy for high-risk NVUGIB in 2 academic centers and were treated with OTSC as first-line (n?=?81) or second-line therapy (n?=?19). Results: ?One hundred patients mean age 72 (range 27???97 years) were included in this study. Fifty-one percent (n =?51) had severe cardiovascular co-morbidity (ischemic heart disease, congestive heart failure, hypertension, valvular heart disease, peripheral arterial occlusive disease and atrial fibrillation) and 73?% (n?=?73) were on antiplatelet or/and anticoagulation therapy. The median size of the treated ulcers was 3?cm (range 1???5?cm). In 94?% (n =?94) primary hemostasis with OTSC was achieved. Clinical long-term success during a mean 6-month follow-up without rebleeding was 86?% (n?=?86). Conclusions: ?In this cohort OTSC was demonstrated to be a safe and effective first- or second-line treatment for NVUGIB in high-risk patients with cardiovascular disease and complex, large ulcers.
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