Hemostatic Powders in Gastrointestinal Bleeding : A Systematic Review - 19/04/15

Doi : 10.1016/j.giec.2015.02.008

Yen-I Chen, MD ^a, Alan Barkun, MD, MSc ^a,^b,^⁎
^a Division of Gastroenterology, McGill University Health Center, McGill University, Montreal, Quebec, Canada
^b Epidemiology and Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada

^∗Corresponding author. Division of Gastroenterology, The McGill University Health Center, Montreal General Hospital site, 1650 Cedar Avenue, Room D16.125, Montréal H3G 1A4, Canada.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Sunday 19 April 2015
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Résumé

Topical hemostatic agents and powders are an emerging modality in the endoscopic management of upper and lower gastrointestinal bleeding. This systematic review demonstrates the effectiveness and safety of these agents with special emphasis on TC-325 and Ankaferd Blood Stopper. The unique noncontact/nontraumatic application, ability to cover large areas of bleed, and ease of use make these hemostatic agents an attractive option in certain clinical situations, such as massive bleeding with poor visualization, salvage therapy, and diffuse bleeding from luminal malignancies.

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Keywords : Gastrointestinal bleeding, Hemostatic powders, Ankaferd Blood Stopper