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Optimized technique for treatment of GI fi stulas
• reduced tissue tension around the fi stula opening
• more effective tissue compression
• increased healing probability of the fi stula
Fistula closure with the OTSC® System
www.ovesco.com
English version 1 | 2017-09-27
Ovesco Endoscopy AG
Dorfackerstr. 26
72074 Tuebingen
Germany
Phone +49 (0) 7071 96528-160
Fax +49 (0) 7071 96528-260
E-Mail service@ovesco.com
Optimized fistula closure
Application
New technique for a more effective fistula closure with the OTSC® clip by
primary superficial incision of the mucosa at the fistula opening
The OTSC® System is already used routinely for the treatment of fi stulas and achieves very good results.
However, in case of fi brotic tissue, clip application and therefore closure of the fi stula tract may be impeded.
For the treatment of otherwise refractory fi stulas, a new fi stula closure technique consisting of primary
superfi cial incision of the mucosa and subsequent OTSC application is available. This procedure offers
convincing advantages:
• Reduced tissue tension around the fi stula opening
• More effective tissue compression at the fi stula opening and the underlying fi stula tract
• Scoring the fi stula opening through incision creates a fresh lesion, which can potentially
promote healing
Mucosal incision (circular)
around the fi stula opening
with the AqaNife (Ø~15 mm).
Positioning of the clip in
the incision line.
superfi cial incision
Clip application and
closure of the fi stula.
OTSC® is a registered brand of Ovesco Endoscopy AG.
Source: Meining A. et. al (2015) Erfolgreicher Verschluss einer großen ösophago-bronchialen Fistel durch mukosale Inzision vor OTSC-Klipp-Platzierung. Endoskopie heute. doi: 10.1055/s-0035-1545049.
*The incision must not be too deep, because it bears the risk of perforation!
schematic
clinical example
Ovesco Endoscopy AG is a medical device company specializing in the fi elds of fl exible endoscopy and
endoluminal surgery. Ovesco develops, manufactures, and markets innovative products for the treatment
of gastrointestinal disease. Ovesco products stand for therapeutic effi cacy and effi cient application.
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