Novel endoscopic over-the-scope XXXX system.

@entity1 @entity788 @entity548 @entity75 @entity23396 @entity1576 @entity5648
This paper reports our experience with a new over-the-scope @entity23396 in the setting of recurrent @entity548 . We treated five @entity1 with the over-the-scope Padlock @entity23396   . It is a @entity5648 ring, with six inner needles preassembled on an applicator cap, thumb press displaced by the Lock-It    delivery system. The trigger wire is located alongside the shaft of the endoscope, and does not require the working channel. Three @entity1 had recurrent @entity548 ( @entity548 rectal ulcer, post polypectomy delayed @entity548 and duodenal @entity75 ) and two @entity1 had a persistent @entity1576 . In all @entity1 a previous endoscopic attempt with standard techniques had been useless. All procedures were conducted under conscious sedation but for one @entity1 that required general anaesthesia due to multiple comorbidities. We used one Padlock @entity23396    for each @entity1 in a single session. Simple suction was enough in all of our @entity1 to obtain tissue adhesion to the instrument tip. A remarkably short application time was recorded for all cases (mean duration of the procedure: 8 min). We obtained technical and immediate clinical success for every @entity1 . No major immediate, early or late (within 24 h, 7 d or 4 wk) adverse events were observed, over follow-up durations lasting a mean of 109.4 d. One @entity1 , treated for duodenal bulb @entity548 from a @entity75 , developed signs of mild @entity788 24 h after the procedure. The new over-the-scope Padlock @entity23396    seems to be simple to use and effective in different clinical settings, particularly in "difficult" scenarios, like recurrent @entity548 and @entity1576 .
