Examinando por Autor "Jauregui Marcos, Mercedes Esther"

Seleccione resultados tecleando las primeras letras
Mostrando 1 - 1 de 1
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of the OTSC clip in the management of patients with gastrointestinal bleeding
    (Universidad Privada Norbert Wiener, 2019-08-04) Lara López, Jacqueline; Jauregui Marcos, Mercedes Esther; Calsin Pacompia, Wilmer
    Objective: To analyze the evidence on the effectiveness of the OTSC clip in the management of patients with gastrointestinal bleeding. Methods: The study was quantitative, with a systematic review design. The population consisted of 15 articles, and the sample included 10 scientific articles published in scientific databases. The instrument used was a search in the following databases: PubMed, UEG Journal, Clinical Endoscopy, Wiley Online Library, WJG – Gastroenterology, Journal of Gastroenterology, EBSCO, and Endosc Int Open. The articles were evaluated using the GRADE system, which assessed the quality of evidence and the strength of recommendations. Results: In this study, 10 articles were analyzed, and the use of the OTSC clip was found to be effective for daily routine practice, as its placement has become a new option for the treatment of both upper and lower gastrointestinal bleeding. Similarly, Regina and colleagues concluded in their study that the application of the OTSC clip is the first-line treatment of choice for patients experiencing high-risk bleeding episodes. Likewise, TH Kothari concluded that closure with OTSC clips is effective for closing gastrocutaneous fistulas, with patients recovering using this novel system. Ravishankar also agrees that the use of OTSC is effective and superior to the treatment of non-variceal upper gastrointestinal bleeding, and thus it should be considered as a first-line treatment. According to the study conducted by Mathew, it was concluded that 100% of the studies demonstrate that the use of the OTSC clip is effective in the management and treatment of patients with gastrointestinal bleeding caused by perforations and fistulas, thereby improving life expectancy, reducing long hospital stays, surgical interventions, high costs, and promoting faster recovery and reintegration into daily and work activities.