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Published on: June 13, 2025
Rescue endoscopic bleeding control for nonvariceal upper gastrointestinal hemorrhage using clipping and detachable
1Digestive Disease Center, Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
Endoscopy
|April 13, 2013
Summary
This study shows that combining detachable snares with hemoclips (CDS) is an effective rescue treatment for nonvariceal upper gastrointestinal bleeding that recurs after initial endoscopic therapy.
Area of Science:
- Gastroenterology
- Endoscopic interventions
- Hemorrhage control
Background:
- Recurrent nonvariceal upper gastrointestinal (UGI) bleeding after endoscopic therapy occurs in 10-15% of cases.
- Mortality rates for recurrent UGI bleeding can reach 25%.
- Optimal endoscopic re-treatment strategies remain debated.
Purpose of the Study:
- To evaluate the efficacy of clipping and detachable snaring (CDS) as a rescue endoscopic treatment for nonvariceal UGI hemorrhage.
- To assess CDS for patients with primary endoscopic treatment failure or recurrent bleeding.
Main Methods:
- A case series of seven patients from a Korean tertiary center.
- Patients underwent endoscopic hemostasis using a combined method of detachable snares and hemoclips (CDS).
Main Results:
- The combined CDS method achieved an 86% success rate in endoscopic hemostasis.
- Six out of seven patients with primary treatment failure or recurrent bleeding were successfully managed with CDS.
Conclusions:
- Rescue endoscopic bleeding control using CDS is a viable option for nonvariceal UGI bleeding.
- CDS can be considered when other endoscopic treatments for recurrent bleeding or primary hemostatic failure are not feasible.
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