Korean J Pancreas Biliary Tract.  2025 Jan;30(1):26-30. 10.15279/kpba.2025.30.1.26.

Two Cases of Pancreatobiliary Disease Complications Treated Using Over-the-Scope Clip

Affiliations
  • 1Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea

Abstract

The over-the-scope clip (OTSC) system is a powerful full-thickness suturing device used for closing refractory bleeding, perforations, and fistulas in gastrointestinal diseases, offering greater force than conventional clips. Here, we report two cases of pancreatobiliary disease treated using OTSC. The first case involved the successful OTSC ligation of a colonic fistula caused by necrotizing pancreatitis, and the second was a duodenal perforation due to stent migration, which was also successfully treated with OTSC. These cases indicate that OTSC can be beneficial for pancreatobiliary diseases, potentially eliminating the need for surgery when endoscopic treatment is successful.

Keyword

Over-the-scope clips; Fistula; Intestinal perforation; 오버 더 스코프 클립; 누공; 위장관 천공
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