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Table 2 Clinical outcomes of OTSC

From: Clinical outcomes of over-the-scope-clip system for the treatment of acute upper non-variceal gastrointestinal bleeding: a systematic review and meta-analysis

Study

Indication, n

Bleeding classification (spurting/oozing/visible vessel/ adherent clot)

No. of receiving an antithrombotic

Technical success, n (%)

Clinical success, n (%)

No. of OTSC deployments, n

Re-bleeding, n (%)

Additional therapy, n (E/S/V)

Number of blood units transfused

Post-procedure 30-day mortality, n (%)

Complications of OTSC, n

Kirschniak et al. [16]

Peptic ulcer (8), Mallory-Weiss (1), Dieulafoy (1), Tumor (2)

12 (100%)

10 (83.3%)

2 (16.7%)

2 (2/0/0)

0

Albert et al. [17]

Peptic ulcer (5), Tumor (1)

6 (100%)

4 (66.7%)

1.17 (1–2)

2 (33.3%)

2 (0/1/1)

1 (16.7%) (due to multiorgan failure)

1 (leak)

Manta et al. [18]

Peptic ulcerr (18), Mallory-Weiss (2), Dieulafoy (2), Anastomosis (1)

22 (95.7%)

21 (91.3%)

1

2 (8.7%)

3 (2/0/1)

0

0

Mönkemüller et al. [19]

Peptic ulcer (5), Dieulafoy (1),

1/5/−/−

6 (100%)

6 (100%)

0

Chan et al. [11]

Peptic ulcer (7), Tumor (2)

9 (100%)

7 (77.8%)

2 (22.2%)

2 (0/1/1)

1 (11.1%) (due to re-bleeding)

0

Skinner et al. [12]

Peptic ulcer (8), Mallory-Weiss (1), Dieulafoy (2), Anastomotic (1)

2/6/2/1

12 (100%)

10 (83.3%)

2 (16.7%)

2 (1/1/1)

5.1 (2–12)

0

0

Manno et al. [20]

Peptic ulcer (29), Mallory Weiss (2), Dieulafoy (6), Anastomotic (3),

3/12/14/−

40 (100%)

40 (100%)

0

0

3 (7.5%) (related to comorbidity)

0

Wedi et al. [21]

Peptic ulcer (38), Balloon dilation for achalasia (1), Tumor (2)

9/3/23/3

31 (75.6%)

35 (85.4%)

35 (85.4%)

1.05 (1–2)

6 (0/6/0)

11 (26.8%) (5 due to

re-bleeding; 6 due to

other causes)

Richter-Schrag et al. [22]

Peptic plcer (48), Mallory-Weiss (2), Dieulafoy (4), Post-endoscopic procedures (5), Anastomoses (5), Vascular malformation (1), Tumor (4)

20/36/10/3

29 (46.0%)

68 (98.6%)

61 (88.4%)

1

17 (27.0%) (4 due to re-bleeding; 13 due to comorbidity)

1 (obstruction)

Lamberts et al. [23]

68 (100%)

44 (64.7%)

24 (35.3%)

Goenka et al. [24]

Peptic ulcer (4), Mallory-Weiss (1), Post-endoscopic procedures (1)

3/3/0/0

1 (16.7%)

6 (100%)

6 (100%)

1

0

0

0

0

0

Wedi et al. [25]

77 (65.3%)

120 (100%)

104 (86.7%)

1

16 (13.3%)

24 (20.3%) (7 due to re-bleeding or continued bleeding; 17 due to other cause)

Schmidt et al. [26]

Peptic ulcer (33)

5/18/7/3

15 (45.5%)

31 (93.9%)

28 (84.8%)

1.03 (1–2)

5 (15.2%)

2 (2/1/0)

3 (0–23)

4 (12.1%) (not related to re-bleeding)

0

Asokkumar et al. [27]

Peptic ulcer (12), Dieulafoy (4), Post-endoscopic procedures (3)

10/0/5/4

10 (52.6%)

19 (100%)

13 (68.4%)

1.10 (1–2)

0

6 (6/0/1)

1.5 ± 1.2 (0–4)

3 (17%) (due to comorbidity)

0

Manta et al. [13]

Peptic ulcer (131), Mallory-Weiss (29), Dieulafoy (11), Anastomosis (19), Post-endoscopic procedures (24)

97/117/−/−

208 (97.2%)

202 (94.4%)

9 (4.2%)

21 (−)

2 (range 1–3)

4 (1.9%) (due to re-bleeding or continued bleeding)

Gölder et al. [28]

Peptic plcer (100)

51/23/26/−

44 (44%)

99 (99%)

75 (75%)

17 (17%)

17 (6 /2/9)

3.34

16 (16%) (9 due to re-bleeding or continued bleeding, 7 due to other cause)

  1. OTSC Over-the-Scope Clip, E endoscopic, S surgery, V vascular embolization, EMR endoscopic mucosal resection, Post-endoscopic procedures, after gastric biopsy, gastric polypectomy, endoscopic ultrasonography guided fine needle aspiration of peri-gastricmass, endoscopic mucosal resection and endoscopic submucosal dissection