Conventional clips vs over-the-scope-clips for the closure of the entry site in POEM and G-POEM procedures.

Background: new alternatives for entry site closure (ESC) in per-oral endoscopy myotomy (POEM) and gastric peroral endoscopy myotomy (G-POEM) have appeared.

Objective: to compare the over-the-scope-clip (OTSC®) and conventional clips (CC) for ESC in POEM and G-POEM.

Material And Methods: a retrospective review of a prospective POEM and G-POEM database was performed between January 2015 and August 2019.

[Prognostic factors related to mortality of children with atresia of bile ducts].

Background: The biliary atresia (BA) is the end result of a destructive and idiopathic inflammatory process affecting the intrahepatic and extrahepatic bile ducts, leading to fibrosis and biliary cirrhosis. The objective was to identify factors associated with mortality in children with BA.

Methods: Observational, longitudinal, analytical and retrospective study carried out in patients with biliary atresia treated between 2008 and 2012 in a tertiary care hospital from the Instituto Mexicano del Seguro Social.