Efficacy and safety of over-the-scope-clips in the therapy of acute nonvariceal upper gastrointestinal bleeding:Meta-analysis  

作　　者：Xue-Zhu Yang Dan-Li Yu Zhi Wang Zhi-Long Gao 

机构地区：[1]Department of Gastroendoscopy,Renmin Hospital,Hubei University of Medicine,Shiyan 442000,Hubei Province,China [2]Department of Gastrointestinal Medicine III,Renmin Hospital,Hubei University of Medicine,Shiyan 442000,Hubei Province,China

出　　处：《World Journal of Clinical Cases》2024年第21期4680-4690,共11页世界临床病例杂志

摘　　要：BACKGROUND Acute nonvariceal upper gastrointestinal bleeding(ANVUGIB)is a frequent lifethreatening acute condition in gastroenterology associated with high morbidity and mortality.Over-the-scope-clip(OTSC)is a new endoscopic hemostasis technique,which is being used in ANVUGIB and is more effective.AIM To summarize and analyze the effects of the OTSC in prevention of recurrent bleeding,clinical success rate,procedure time,hospital stay,and adverse events in the treatment of ANVUGIB,to evaluate whether OTSC can replace standard endoscopic therapy as a new generation of treatment for ANVUGIB.METHODS The literature related to OTSC and standard therapy for ANVUGIB published before January 2023 was searched in PubMed,Web of Science,EMBASE,Cochrane,Google,and CNKI databases.Changes in recurrent bleeding(7 or 30 days),clinical results(clinical success rate,conversion rate to surgery,mortality),therapy time(procedure time,hospital stay),and adverse events in the OTSC intervention group were summarized and analyzed,and the MD or OR of 95%CI is calculated by Review Manager 5.3.RESULTS This meta-analysis involved 11 studies with 1266 patients.Total risk of bias was moderate-to-high.For patients in the OTSC group,7-and 30-days recurrent bleeding rates,as well as procedure time,hospital stay,and intensive care unit stay,were greatly inhibited.OTSC could significantly improve the clinical success rate of ANVUGIB.OTSC therapy did not cause serious adverse and was effective in reducing patient mortality.CONCLUSION OTSC may provide more rapid and sustained hemostasis,and thus,promote recovery and reduce mortality in patients with ANVUGIB.In addition,the safety of OTSC is assured.

关 键 词：Acute nonvariceal upper gastrointestinal bleeding Over-the-scope-clips Recurrent bleeding Adverse events META-ANALYSIS 

分 类 号：R541.4[医药卫生—心血管疾病] R57[医药卫生—内科学]