Letters To The Editor
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World J Gastroenterol. Aug 28, 2014; 20(32): 11460-11462
Published online Aug 28, 2014. doi: 10.3748/wjg.v20.i32.11460
Role of over the scope clips in the management of iatrogenic gastrointestinal perforations
Kinesh Changela, Muhhamad A Virk, Niravkumar Patel, Sushil Duddempudi, Mahesh Krishnaiah, Sury Anand
Kinesh Changela, Muhhamad A Virk, Niravkumar Patel, Sushil Duddempudi, Mahesh Krishnaiah, Sury Anand, Division of Gastroenterology, The Brooklyn Hospital Center, New York Presbyterian Healthcare System, Brooklyn, NY 11201, United States
Author contributions: Changela K and Virk MA contributed to study concept and design, drafting of the manuscript, technical support, study supervision; Changela K and Virk MA contributed equally; Patel N contributed to acquisition of data and images, drafting of the manuscript; Duddempudi S, Krishnaiah M and Anand S contributed to critical revision of the manuscript for important intellectual content.
Correspondence to: Kinesh Changela, MD, Division of Gastroenterology, The Brooklyn Hospital Center, New York Presbyterian Healthcare System, 121 Dekalb Ave, Brooklyn, NY 11201, United States. kinooo2002@gmail.com
Telephone: +1-516-5828772 Fax: +1-718-2508120
Received: January 23, 2014
Revised: March 8, 2014
Accepted: April 15, 2014
Published online: August 28, 2014
Abstract

Advances in endoscopic and surgical techniques have increased the frequency and complexity of these procedures and associated complications such as gastrointestinal perforation. With the advancements in the field of gastroenterology, the promising use of an over the scope clips (OTSC) has fulfilled the unmet need for a reliable endoscopic devise in approximation of gastrointestinal perforation. This novel approach has raised the level of confidence in endoscopist in dealing with this serious complication during endoscopy. Here we have shared our experience with OTSC to evaluate its efficacy and safety in managing iatrogenic gastrointestinal perforations during endoscopy.

Keywords: Gastrointestinal perforation, Over-the-scope clip, Over the scope clip system, Endoscopic adverse events

Core tip: Gastrointestinal perforation is a frequently encountered, inevitable, and serious complication encountered during endoscopic procedures. In this editorial, we have described our experience with over the scope clip system as a promising therapeutic option in dealing with iatrogenic gastrointestinal perforations. We believe that our experience with this emerging therapeutic approach on three patients will definitely be an excellent asset to available literature and will attract more readers.