Effectiveness of the OTSC clip in the management of patients with gastrointestinal bleeding

Abstract

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.

Objetivo: Analizar las evidencias sobre la eficacia del clip OTSC en el manejo de pacientes con sangrados gastrointestinales. Materiales y Métodos: revisión sistemática, sistema de evaluación GRADE. Bases de datos: Pubmed, UEG Journal, Clinical Endoscopy, Wiley Online Library, WJG – Gastroenterology, Journal Gastroenterology, EBSCO, Endosc Int Open. la revisión sistemática de los artículos, del 100%, el 20% a Suiza, 20% España y el 10% a los países de Alemania, EEUU, India, Japón, Corea, Colombia. En relación a los diseños de estudios el 80% ensayo clínico, 10% retrospectivo, 10% prospectivo. Resultados: todos los artículos revisados sistemáticamente señalan la eficacia del uso del clip OTSC en el manejo de hemorragias digestivas altas y bajas. Conclusiones: Los estudios corroboran la eficacia del clip OTSC en el manejo de pacientes con hemorragias gastrointestinales. porque, es eficaz para tratar el sangrado GI y controla las hemorragias digestivas altas y bajas, no se evidencio complicaciones asociadas al procedimientos del clip OTSC, siendo una opción de primera línea ante una intervención quirúrgica, reduce el tiempo de estancia hospitalarias, evita la recurrencia de sangrados gastrointestinales, es considerado un método factible y seguro, mejora la calidad de vida, disminuye el riesgo con excelente relación- calidad y precio.