Related Experiment Video
Updated: Jun 7, 2026
04:09
Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
Published on: June 13, 2025
Colonoscopic clipping as a treatment for appendiceal bleeding
Il Park1, Chang-Il Kwon, Kwang Hyun Ko
1Digestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Gut and Liver
|October 29, 2010
Summary
Colonoscopic clipping offers a novel treatment for rare cases of appendiceal bleeding, a cause of lower gastrointestinal bleeding. This minimally invasive technique successfully stopped bleeding in two patients, avoiding surgery.
Area of Science:
- Gastroenterology
- Endoscopic interventions
Background:
- Appendiceal bleeding is an exceptionally rare cause of lower gastrointestinal bleeding.
- Standard treatment for diagnosed appendiceal bleeding typically involves surgical or laparoscopic appendectomy.
Purpose of the Study:
- To report a novel endoscopic approach for managing continuous appendiceal bleeding.
- To evaluate the efficacy of colonoscopic clipping for appendiceal bleeding.
Main Methods:
- Two patients with active appendiceal bleeding underwent colonoscopic evaluation.
- Partial occlusion of the appendiceal orifice was achieved using colonoscopic clips in both patients.
Main Results:
- Both patients experienced cessation of active bleeding following the endoscopic clipping procedure.
- No evidence of recurrent bleeding was observed in either patient during a 12-month follow-up period.
Conclusions:
- Colonoscopic clipping represents a potentially effective and minimally invasive alternative to surgery for managing appendiceal bleeding.
- This case series is the first to describe the successful use of colonoscopic clipping for appendiceal bleeding in the English literature.
Related Concept Videos
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:28Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...