Case Report: Use of the over-the-scope clipping system in a trauma patient for a large bowel anastomotic leak - Scorecard - MDSpire

Case Report: Use of the over-the-scope clipping system in a trauma patient for a large bowel anastomotic leak

  • By

  • Thamer Nouh

  • May 20, 2026

  • 0 min

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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

CategoryDetail
Condition
Key Mechanisms
Target PopulationPatients 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.

        Related Resources & Content

        Original Source(s)

        Case Report: Use of the over-the-scope clipping system in a trauma patient for a large bowel anastomotic leak

        • by Thamer Nouh

        • May 20, 2026

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