Endoscopic clipping

and, Michael J Grupka; Benson, J. A.

doi:10.1111/j.1751-2980.2008.00325.x

Cited by 31 publications

(23 citation statements)

References 79 publications

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“…Dieulafoy lesions are abnormal winding arterial vessels that project onto the muscularis mucosa of the gastrointestinal tract and can initiate massive bleeding. They have been reported in all parts of the gastrointestinal tract; however, approximately half of the cases are located in the proximal stomach in childhood (9,12,14). Experiences with the use of endoscopic clips in gastric Dieulafoy lesions in children only include only case reports; Lee et al (15) reported the use of hemoclips to control bleeding from a gastric Dieulafoy lesion in a newborn infant (3d) successfully.…”

Section: Discussionmentioning

confidence: 99%

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Application of endoscopic hemoclips for nonvariceal upper gastrointestinal bleeding in children

Ünal¹,

Çakır²,

Baran³

et al. 2014

Turk J Gastroenterol

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Background/Aims: Data about the efficiency and outcome of therapeutic endoscopic techniques in children with nonvariceal upper gastrointestinal bleeding (UGB) are scarce. We aimed to analyze our experience with endoscopic hemoclip application in children with non-variceal UGB. Materials and Methods: During a 3-year period, a total of 1715 endoscopies were performed in our pediatric endoscopy unit; 182 (10.6%) of them were performed for UGB to 158 patients. Fifty-six of them had emergent endoscopy. Among them, 15 cases with nonvariceal UGB were only given endoscopic hemoclips. Demographic, clinical, and laboratory findings at initial admission; endoscopic appearance of bleeding lesions; and outcome of hemoclip application were recorded from the hospital files and endoscopy records. Results: Ten patients (66.6%) had gastric ulcer, 3 (20%) had duodenal ulcer, 1 (6.7%) had Dieulafoy lesion, and 1 (6.7%) had bleeding at the post-polypectomy site. Initial homeostasis after hemoclip application was achieved in all patients (100%). Rebleeding was seen in only one patient (6.5%) with a Dieulafoy lesion, who needed hemoclip application for a second time, and the bleeding was controlled successfully. Permanent hemostasis was 100%. The median number of hemoclips used per case and per application was 3.4 and 3.2, respectively. None of the patients experienced any complication related to hemoclip application. Median duration of hospitalization was 6 days. On follow-up, none of the patients received surgical therapy, and 30-d mortality related to bleeding was 0%. Conclusion: The use of hemoclips for nonvariceal UGB in children is an effective modality to control bleeding without any complications in children.

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Section: Discussionmentioning

confidence: 99%

“…The rebleeding rate after hemoclip application varies from 1.8% to 20% (9,12). The presence of shock on admission and visible vessels predict rebleeding in adult patients.…”

Section: Discussionmentioning

confidence: 99%

Application of endoscopic hemoclips for nonvariceal upper gastrointestinal bleeding in children

Ünal¹,

Çakır²,

Baran³

et al. 2014

Turk J Gastroenterol

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“…Although there have been some concerns about their use, endoclips have been proven to be safe in various clinical conditions and the reported potential complications were minimal. 26 Endoclips may interfere with radiography or other types of medical imaging, such as computerized tomography and magnetic resonance imaging. 27 However, spontaneous sloughing of endoclips occurs at approximately 14 to 21 days and clips pass uneventfully.…”

Section: Discussionmentioning

confidence: 99%

Successful Endoscopic Repair of an Iatrogenic Colonic Perforation During Diagnostic Colonoscopy

Lee

Cheong²

2012

The Journal of the American Board of Family Medicine

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Colonoscopy is the best method for the diagnosis, treatment, and follow-up of colorectal cancer. Although it is generally considered a safe procedure, complications during colonoscopy may occur. The most serious complication is iatrogenic perforation of the colon. Although rare, it can be potentially lethal, especially when it is not recognized and treated immediately. The traditional management of iatrogenic colonic perforation is surgical repair, either by laparotomy or laparoscopy. However, with the recent improvement of endoscopic devices and techniques, endoscopic repair of iatrogenic colonic perforation using endoclips is considered to be both feasible and effective. We successfully used endoscopic clipping to treat a patient with a large perforation of the colon during diagnostic colonoscopy. We believe that the endoscopic repair avoids unnecessary surgery and reduces medical costs. (J Am Board Fam Med 2012;25:383-389.)

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“…Application of an endoclip is a relatively simple procedure and recently reported as a method for closing anastomotic leakage of gastrointestinal tract [10,[23][24][25][26][27][28] (Table.1.). The clip fixing device with a loaded clip can be passed through the forceps channel of a standard endoscope.…”

Section: Endoscopic Management Of Anastomotic Leakage Using Clippingmentioning

confidence: 99%