Endoscopic Management with a Novel Over-The-Scope Padlock Clip System
- Author:
Mahesh Kumar GOENKA
1
;
Gajanan Ashokrao RODGE
;
Indrajeet Kumar TIWARY
Author Information
- Publication Type:Original Article
- Keywords: Endoscopic management; Gastrointestinal hemorrhages; Novel over-the-scope clip; Over-the-scope clip; Padlock
- MeSH: Follow-Up Studies; Gastrointestinal Hemorrhage; Hemorrhage; Hemostasis; Humans
- From:Clinical Endoscopy 2019;52(6):574-580
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: The Padlock clip is a recently introduced over-the-scope clip (OTSC) that requires the use of an alternate technique and has a different design from previous OTSCs. However, data regarding its clinical use are limited. The aim of this study is to present our clinical experience using this novel Padlock clip system.METHODS: Between September 2018 and June 2019, 7 consecutive patients underwent Padlock clip application at our center by an experienced endoscopist. A Padlock clip was used for achieving hemostasis in 4 patients presenting with gastrointestinal (GI) bleeding, as well as for endoscopic full-thickness resection in the remaining 3 patients.RESULTS: All 7 patients achieved technical as well as clinical success, with absence of complications or rebleeding, during a follow-up of a minimum of 3 weeks. All patients were hospitalized post procedure for a minimum of 48 hours, and an absence of adverse events was noted in our patient population throughout the procedure and post-procedure period. Antiplatelet therapy was reinstated shortly after the application of the Padlock clip, with no GI bleeding observed.CONCLUSIONS: The Padlock clip is a novel OTSC, with benefits that include safe, simple, and rapid deployment. Antiplatelet therapy may be reinstated for patients, when necessary, shortly after applying the Padlock clip due to full-thickness closure of the tissue.
