Long-term outcomes of over-the-scope clip for refractory gastrointestinal diseases

• Material Type: 博士論文
• Title: Long-term outcomes of over-the-scope clip for refractory gastrointestinal diseases
• Author/Editor: 合田, 康宏
• Author Heading: 合田, 康宏
• Publication Date: 2021-03-24
• Publication Date (W3CDTF): 2021-03-24
• Alternative Title: 難治性消化管疾患におけるOver-The-Scope Clipの長期的成績
• Degree grantor/type: 香川大学
• Date Granted: 2021-03-24
• Date Granted (W3CDTF): 2021-03-24
• Dissertation Number: 甲第768号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 甲第768号
• Text Language Code: eng
• Alias of Author: Goda, Yasuhiro
• Subject Heading: Endoscopic intervention; Over-the-scope clip; refractory gastrointestinal disease; prognosis
• Target Audience: 一般
• Note (General): Background: The Over-The-Scope Clip (OTSC) can effectively treat refractory gastrointestinal diseases. However, most reports have focused on short-term effectiveness. We examined clinical outcomes of the deployed clips and long-term characteristics.; Material and methods: Of 47 patients with OTSC treatment, 35 with follow-up periods of ≥3 months were retrospectively examined. The indications were 11 bleedings, 17 perforations, and seven fistulas. The observation period was defined as medium-term (3 to <12 months) or long-term (≥12 months). The primary outcome was the clinical success rate without disease recurrence. The secondary outcomes were the complication rate, survival duration, and clip retention rate.; Results: The medium- and long-term clinical success rates were 100% during the observation period (median, 44 months; range, 3-78 months). The complication rate was 2.9% (n = 1). The median survival time was 1,634 days for bleeding, 1,757 days for perforation, and 444 days for fistulas. The overall clip retention rates were 56.4%, 38.1%, 30.9%, and 25.9% after one, six, and 12 months and at the final follow-up, respectively. The average clip retention duration was 244 days in bleeding, 656 days in perforations, and 188 days in fistulas.; Conclusions: Regardless of clip detachment, the OTSC can be effective in long-term.
• DOI: info:doi/10.1080/13645706.2020.1867584; https://doi.org/info:doi/10.1080/13645706.2020.1867584
• Persistent ID (NDL): info:ndljp/pid/11977393; https://dl.ndl.go.jp/pid/11977393
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2022-01-10T16:22:37+09:00
• Date Created (W3CDTF): 2021-04-21
• Format (IMT): PDF
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): https://kagawa-u.repo.nii.ac.jp/records/7334
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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2022-01-12 再収集