Case Report: Use of the over-the-scope clipping system in a trauma patient for a large bowel anastomotic leak
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By
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Thamer Nouh
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May 20, 2026
Clinical Scorecard: Case Study: Application of the Over-the-Scope Clipping Device in a Trauma Patient with a Major Bowel Anastomotic Leak
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | |
| Target Population | Patients with anastomotic leaks, particularly those unfit for surgical re-intervention, including trauma patients. |
| Care Setting | |
Key Highlights
- Anastomotic leakage has an incidence of 2.8% to 30% post-gastrointestinal surgery, particularly in trauma cases.
Guideline-Based Recommendations
Diagnosis
Management
Monitoring & Follow-up
- Monitor drain output and imaging for signs of ongoing leakage, including specific imaging techniques like CT and ultrasound.
Risks
Patient & Prescribing Data
OTSC is preferred for its superior closure capabilities in chronic fistula tracts, particularly in trauma patients.
Clinical Best Practices
- Consider OTSC for patients with persistent anastomotic leaks after conservative management, ideally within a specific timeframe.
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