Use of the Endoscopic Clipping Over the Scope Technique to Treat Acute Severe Lower Gastrointestinal Bleeding in the Colon and Anal Transition Zone - 16/11/19

Doi : 10.1016/j.giec.2019.09.001

Tonya Kaltenbach, MD, MS ^a,^b,^c,^⁎ , Ravishankar Asokkumar, MBBS, MD, MRCP ^d, Jennifer M. Kolb, MD ^e, Carmel Malvar, BA ^a,^b, Roy Soetikno, MD, MS (Health Services Research), MS (Management) ^c
^a Section of Gastroenterology, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
^b Division of Gastroenterology and Hepatology, University of California, San Francisco, CA, USA
^c Advanced Gastrointestinal Endoscopy, Mountain View, CA, USA
^d Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore
^e Division of Gastroenterology, University of Colorado, Aurora, CO, USA

^∗Corresponding author. Section of Gastroenterology, San Francisco Veterans Affairs Medical Center, San Francisco, CA.Section of GastroenterologySan Francisco Veterans Affairs Medical CenterSan FranciscoCA

Résumé

Endoscopic treatment of lower gastrointestinal bleeding can be challenging. This article reports on the use of the endoscopic clipping over the scope technique to treat acute severe lower gastrointestinal bleeding. In particular, it describes the approaches and outcomes of using the technique for acute severe bleeding in the colon and the anal transition zone. The following synopsis is the one that you supplied, but lightly copyedited. Please confirm OK. Please note that the synopsis will appear in PubMed: Endoscopic treatment of lower gastrointestinal bleeding can be challenging. This article reports on the use of the endoscopic clipping over the scope technique to treat acute severe lower gastrointestinal bleeding. In particular, it describes the approaches and outcomes of using the technique for acute severe bleeding in the colon and the anal transition zone.

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Keywords : Lower gastrointestinal bleeding, Endoscopic hemostasis, Endoscopic therapy, Endoscopic clipping, Over the scope clip, Colonoscopy, Diverticular bleeding, Anal transition zone

Plan

Key points

Definitions

Introduction

Diverticular bleeding

Diagnosis

Treatment

Rationale for Seeking Other Modalities

Use of the Clipping Over the Scope Technique

Our Clipping Over the Scope Technique to Treat Diverticular Bleeding in the Colon

Postpolypectomy bleeding

Use of Clipping Over the Scope Technique for the Prevention and Treatment of Postpolypectomy Bleeding

Anal transitional zone bleeding

Our Approach for Clipping Over the Scope to Treat Bleeding in the Anal Transitional Zone

Summary

Disclosure: Dr T. Kaltenbach is a consultant for Olympus America and Aries Pharmaceuticals, and Dr R. Soetikno is a consultant for Olympus America. Dr R. Asokkumar, Dr J.M. Kolb, and Ms C. Malvar have nothing to disclose.

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Vol 30 - N° 1

P. 13-23 - janvier 2020 Retour au numéro

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The Use of the Over the Scope Clip to Treat Upper Gastrointestinal Bleeding
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Use of the Endoscopic Clipping Over the Scope Technique to Treat Acute Severe Lower Gastrointestinal Bleeding in the Colon and Anal Transition Zone - 16/11/19

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