New Clip with colonoscopy prevents colorectal surgery
The colonoscopy (colonoscopy) is the most important and meaningful investigation for the early detection and diagnosis of colorectal cancer. If polyps are removed, it can sometimes lead to injury. For their treatment there is since some years a new therapeutic option.
Most important investigation for the early detection of colorectal cancer
According to information of the German cancer society e. V. the colonoscopy (colonoscopy) is the most important and meaningful investigation for the early detection and diagnosis of colorectal cancer. According to experts, thousands of deaths can be prevented. In the case of a colonoscopy, benign changes, which may later malignant tumors emerge can be removed directly. But sometimes, the intestinal wall is injured. For the treatment of these injuries, there is a new therapeutic option.
Sometimes, the intestinal wall is injured
The Removal of polyps (benign growths in the bowel) during a colonoscopy can be violated in rare cases, the intestinal wall.
As the technician health insurance (TK) was reported in a communication that is used for the last four years, a special attachment to the endoscope, to treat such tissue damage.
But this method is really safe and effective?
To this question, it is because of the small numbers of cases, so far, only a few findings. An analysis of data from the TK now supports first estimates, according to which the innovative method, the so-called “OTS-Clip” is safe.
The information suggests that in certain cases operations can be avoided.
New therapeutic option
“Our analysis shows that routine can help data, the Benefits and safety of medical technical innovations to predict,” Dr. Dirk Horenkamp-Sonntag, TK.
According to the health insurance Fund is to be discovered in the cutting at 30 to 50 percent of patients during a colonoscopy, polyps in the intestinal wall. In order that no colorectal cancer arises, they will be removed during the investigation.
If damage to tissue can occur to the intestinal wall (bleeding or smaller holes), since 2015 is a new therapeutic option.
With a larger Clip that is mounted on the inspection camera, the endoscope, can be more tissue and lower wall shares access than previously possible.
As in the case of a freezer pouch with a Clip is closed, can engage the Clip holes in the intestinal wall and pull. The essay is called the OTS-Clip (Over-The-Scope Clip).
Operations can be avoided
Since there are only a few data from highly specialized centers for surgery with the new tool the colon gave so far, it has initiated the TK is a cooperation project with the gastroenterologist Professor Herbert Co-op from Berlin, Germany.
Through the integration of clinical expertise could be identified from pseudonymised routine data from around ten million TK Insured 500 cases, in which the OTS-Clip between 2015 and 2018 was used.
The OTS-Clip is used primarily in connection with the removal of polyps. In addition, it is used to accidental injury of the intestinal wall, for example, in the context of a colonoscopy.
“The data suggest that the use of the Clips is safe and, in particular, after injury of the intestinal wall surgery avoid left,” explains Horenkamp-Sonntag.
In the first ten, or hundred days after the Clipping, a surgical procedure on the abdomen was in the case of the 311 patients who received colon removed polyps, only 1.3 percent of the cases, or 8.7 percent of the cases required.
With the previous approach, the operation rate would have been significantly higher. (ad)