January 2013 | OTSC used to prevent stent migration in the treatment of anastomotic leak

migration in the treatment of anastomotic leak Toshniwal J et al. report about the use of the OTSC System to anchor a fully covered self-expandable metal stent to prevent stent migration. The patient underwent distal esophagectomy with gastric pull-up. The stent was placed to a postoperative anastomotic leak in the esophagus. However, the stent partially migrated into the stomach. The stent was then repositioned onto the leak. The OTSC System was placed using the OTSC Twin Grasper to grasp the stent edge and suction. After application the OTSC clip fi xed the stent to the esophageal wall. Follow-up showed successful closure of the anastomotic leak. The authors conclude that the placement of the clip was easy, fast and prevented stent migration effectively. The fi xation of stents is not a common indication for the OTSC System and there is only very limited experience. Combination of the “bear claw” (over-the-scope clip system) and fully covered stent for the treatment of post-operative anastomotic leak Toshniwal J, Zabielski M, Fry LC, Mönkemüller K Endoscopy. 2012;44 Suppl 2 UCTN:E288-9 Full-text link: http://dx.doi.org/10.1055/s-0032-1310033