CLINICAL RESULTS OF ENDOSCOPIC HEMOSTASIS USING A SHORT TRANSPARENT HOOD AND SHORT HEMOCLIPS FOR NON‐VARICEAL UPPER GASTROINTESTINAL BLEEDING

Aim:  Endoscopic hemostasis using hemoclips is useful, but there are technical difficulties because the angle of the approach is tangential. A transparent hood facilitates the observation and treatment of these lesions, and a shorter hood provides a wider visible field. Endoscopic hemoclipping of hard lesions with hemoclips of the conventional size does not reliably result in sustained hemostasis because the clips slip. Short clips, however, can be easily clamped on protruded visible vessels without slip. The aim of the present study was to evaluate the efficacy of endoscopic hemostasis with a short transparent hood and short clips.

[1]  B. Petersen,et al.  Endoscopic clip application devices. , 2006, Gastrointestinal Endoscopy.

[2]  P. Hsu,et al.  Comparison of hemostatic efficacy for epinephrine injection alone and injection combined with hemoclip therapy in treating high-risk bleeding ulcers. , 2006, Gastrointestinal endoscopy.

[3]  Yen-Chun Peng,et al.  Factors Associated With Failure of Initial Endoscopic Hemoclip Hemostasis for Upper Gastrointestinal Bleeding , 2006, Journal of clinical gastroenterology.

[4]  T. Mine,et al.  A new type of hemoclip device , 2005 .

[5]  H. Ogata,et al.  Procedure of Endoscopic Hemostasis Using a Distal Attachment and Short Clips Against Upper Gastrointestinal Bleeding , 2004 .

[6]  Seun-Ja Park,et al.  Endoscopic Hemoclipping Using a Transparent Cap in Technically Difficult Cases , 2003, Endoscopy.

[7]  D. K. Lee,et al.  Reply to Gyökeres et al. , 2003 .

[8]  I. Sakuma,et al.  Efficacy of endoscopic clipping for bleeding gastroduodenal ulcer: comparison with topical ethanol injection , 1999, American Journal of Gastroenterology.

[9]  N. Soehendra,et al.  New haemostatic techniques: histoacryl injection, banding/endoloop ligation and haemoclipping. , 1999, Bailliere's best practice & research. Clinical gastroenterology.

[10]  R. Enns,et al.  Endoscopic management of Dieulafoy lesions of the stomach: a case study of 26 patients. , 1998, Gastrointestinal endoscopy.

[11]  H. Matsuda,et al.  Hemostasis with endoscopic hemoclipping for severe gastrointestinal bleeding in critically ill patients. , 1996, The American journal of gastroenterology.

[12]  I. Hirata,et al.  ENDOSCOPIC HEMOSTASIS FOR UPPER GASTROINTESTINAL BLEEDING , 1994 .

[13]  T. Hachisu Evaluation of endoscopic hemostasis usingan improved clipping apparatus , 2004, Surgical Endoscopy.

[14]  K. Ho,et al.  Endoscopic hemoclip treatment of gastrointestinal bleeding. , 2001, Chang Gung medical journal.

[15]  S. J. Kim,et al.  Comparison of the hemostatic efficacy of the endoscopic hemoclip method with hypertonic saline-epinephrine injection and a combination of the two for the management of bleeding peptic ulcers. , 1999, Gastrointestinal endoscopy.