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

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Objective:

To report the successful use of the over-the-scope clip (OTSC) system for managing an anastomotic leak in a trauma patient, highlighting its significance as a minimally invasive alternative to traditional surgical methods.

Key Findings:
  • The OTSC system effectively closed the anastomotic leak with no complications, demonstrating its potential as a viable treatment option.
  • The patient showed complete resolution of the leak confirmed by follow-up imaging, indicating the effectiveness of the OTSC system.
  • OTSC is a viable minimally invasive alternative to surgical re-intervention for anastomotic leaks, particularly in high-risk patients.
Interpretation:

The case demonstrates the potential of OTSC as a safe and effective treatment for anastomotic leaks, particularly in patients unsuitable for surgical re-intervention, suggesting a shift in management strategies.

Limitations:
  • The study is based on a single case report, limiting generalizability and necessitating further research.
  • Long-term outcomes and recurrence rates with OTSC are not fully established, highlighting the need for additional studies.
Conclusion:

The OTSC system represents a promising minimally invasive option for managing anastomotic leaks, potentially reducing the need for more invasive surgical procedures and improving patient outcomes.

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