Clinical Endoscopy

Original Articles

A prospective study of fully covered self-expandable metal stents for refractory benign pancreatic duct strictures: Bhavik Bharat Shah, Gajanan Ashokrao Rodge, Usha Goenka, Shivaraj Afzalpurkar, Mahesh Kumar Goenka; Clin Endosc 2022;55(6):793-800. Published online April 4, 2022; DOI: https://doi.org/10.5946/ce.2021.211

Background
/Aims: Fully covered self-expanding metal stents (FCSEMSs) are a relatively novel option for treating painful main pancreatic duct refractory strictures in patients with chronic pancreatitis. Herein, we aimed to assess the efficacy, feasibility, and safety of FCSEMSs in this patient group.
Methods
This prospective single-center study included patients who underwent endoscopic retrograde pancreatography with FCSEMS placement. The primary endpoints were the technical and clinical success rates. A reduction in visual analog scale pain score of >50% compared with that before stent placement was defined as clinical success. Secondary endpoints were resolution of pancreatic strictures on fluoroscopy during endoscopic retrograde pancreatography and the development of stent-related adverse events.
Results
Thirty-six patients were included in the analysis. The technical success rate was 100% (n=36) and the clinical success rate was 86.1% (n=31). There was a significant increase in stricture diameter from 1.7 mm to 3.5 mm (p<0.001) after stent removal. The mean visual analog scale pain score showed statistically significant improvement. At 19 months of follow-up, 55.6% of the patients were asymptomatic. Stent migration (16.7%), intolerable abdominal pain (8.3%), development of de novo strictures (8.3%), and mild pancreatitis (2.8%) were the most common adverse events.
Conclusions
FCSEMS placement showed good technical and clinical success rates for achieving pain relief in patients with refractory main pancreatic duct strictures.

Citations

Citations to this article as recorded by

Citric Acid Loaded Hydrogel-Coated Stent for Dissolving Pancreatic Duct Calculi
Jing Li, Yanwei Lv, Zheng Chen, Jiulong Zhao, Shige Wang
Gels.2024; 10(2): 125. CrossRef
Fully Covered Self-expandable Metallic Stents for Refractory Benign Pancreatic Duct Strictures: A Systematic Review and Meta-analysis
Gajanan Rodge, Suprabhat Giri, Kailash Kolhe, Shivaraj Afzalpurkar, Sidharth Harindranath, Sridhar Sundaram, Aditya Kale
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2024;[Epub] CrossRef
Self-expanding metallic stent for refractory pancreatic duct stricture in chronic pancreatitis: A prospective follow-up study
Praveer Rai, Pankaj Kumar, Ashok Kumar, Sana Asari, Kartik Agarwal, Mayank, Ravi V. Krishna Kishore, Prabhaker Mishra
Indian Journal of Gastroenterology.2023;[Epub] CrossRef
Quality of life after endoscopic procedures for chronic pancreatitis: A multicentre study
Mikael Parhiala, Camilla Nøjgaard, Andreas Bartholdy, Anne Waage, Povilas Ignatavičius, Trond Engjom, Georg Dimcevski, Ingrid Kvåle Nordaas, Evangelos Kalaitzakis, Asbjørn M. Drewes, Amer Hadi, Søren S. Olesen, Jakob L. Poulsen, Johanna Laukkarinen
United European Gastroenterology Journal.2023; 11(9): 884. CrossRef
Pancreatic duct stents
Jin Hui Yi, Zhao Shen Li, Liang Hao Hu
Journal of Digestive Diseases.2022; 23(12): 675. CrossRef

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Endoscopic Management with a Novel Over-The-Scope Padlock Clip System: Mahesh Kumar Goenka, Gajanan Ashokrao Rodge, Indrajeet Kumar Tiwary; Clin Endosc 2019;52(6):574-580. Published online November 26, 2019; DOI: https://doi.org/10.5946/ce.2019.122

Abstract PDF PubReader ePub

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.

Citations

Citations to this article as recorded by

Advancements in endoscopic hemostasis for non-variceal upper gastrointestinal bleeding
Xue Jing Li, Brian M Fung
World Journal of Gastrointestinal Endoscopy.2024; 16(7): 376. CrossRef
Usage of Padlock Over-the-Scope-Clip in Difficult-to-Control Recurrent Gastrointestinal Bleeding Due to a Gastric Dieulafoy Lesion
John Joyce, Vishnu Kumar, Dayana Nasr, Ganesh Aswath, Hafiz M. Khan, Savio John
Journal of Investigative Medicine High Impact Case Reports.2024;[Epub] CrossRef
Analysis of Reported Adverse Events Related to Over-the-Scope Clips: A MAUDE Database Analysis
Daniyal Abbas, Mohamed Abdallah, Khalid Ahmed, Abubaker O. Abdalla, Nicholas McDonald, Shifa Umar, Brian J. Hanson, Mohammad Bilal
Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(2): 106. CrossRef
Colonic diverticular bleeding: An update on pathogenesis and management
Sneha Annie Sebastian, Edzel Lorraine Co, Venkatesh Panthangi, Radha Bansal, Vaishnavi Narayanan, Shachi Paudel, Rabab Raja, Inderbir Padda, Babu P Mohan
Disease-a-Month.2023; 69(11): 101543. CrossRef
Endoscopic Recognition and Resection of Malignant Colorectal Polyps
Natalie Wilson, Moamen Gabr, Mohammad Bilal
Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(4): 385. CrossRef
Endoscopic Salvage of Gastrointestinal Anastomosis Leaks—Past, Present, and Future—A Narrated Review
Alexandra Menni, George Stavrou, Georgios Tzikos, Anne D. Shrewsbury, Katerina Kotzampassi
Gastrointestinal Disorders.2023; 5(3): 383. CrossRef
Boerhaave’s Syndrome: Better Late than Never – Delayed Management Using Endoscopic Over-the-Scope Clip
Arulprakash Sarangapani, Tarun J George, S Malathi
Gastroenterology, Hepatology and Endoscopy Practice.2023; 3(4): 167. CrossRef
Updates on the Prevention and Management of Post-Polypectomy Bleeding in the Colon
Hisham Wehbe, Aditya Gutta, Mark A. Gromski
Gastrointestinal Endoscopy Clinics of North America.2023;[Epub] CrossRef
Tratamiento endoscópico de la perforación mediante Padlock Clip®, a propósito de 2 casos
M. Reyes Busta Nistal, Lourdes del Olmo Martínez, Benito Velayos Jimenez, Luis Fernández Salazar, Miguel Durà Gil
Gastroenterología y Hepatología.2022; 45: 99. CrossRef
The application of endoscopic loop ligation in defect repair following endoscopic full-thickness resection of gastric submucosal tumors originating from the muscularis propria layer
Guoxiang Wang, Yanli Xiang, Yangde Miao, Honggang Wang, Meidong Xu, Guang Yu
Scandinavian Journal of Gastroenterology.2022; 57(1): 119. CrossRef
OTSC (Padlock Clip) as a Rescue Endoscopic Method for a Severe Post-Bariatric Complication
Luiza L. Ramos, Ravi C. Marques, Hugo G. Guedes
Obesity Surgery.2022; 32(5): 1761. CrossRef
Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
Clinical Endoscopy.2021; 54(5): 633. CrossRef
Mucosectomy device‐assisted endoscopic resection of gastric subepithelial lesions
Lian Yong Li, Bai Wen Li, Parit Mekaroonkamol, Hui Min Chen, Shan Shan Shen, Hui Luo, Sunil Dacha, Yue Xue, Sarah Cristofaro, Steven Keilin, Field Willingham, Qiang Cai
Journal of Digestive Diseases.2020; 21(4): 215. CrossRef
Another Use for Padlock Clip
Awf Mouchli, Vikas Chitnavis
Cureus.2020;[Epub] CrossRef
Successful Endoscopic Removal of Toothpick Perforating Gastric Antrum With Over-the-Scope Padlock Clip Closure
Darshan Suthar, Elisabeth H Kramer, Harshit S Khara
Cureus.2020;[Epub] CrossRef

6,483 View
191 Download
15 Web of Science
15 Crossref

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