Evaluation of endoscopic hemostasis using an improved clipping apparatus

Area of Science:

• Gastroenterology
• Medical Devices
• Endoscopic Surgery

Background:

• Endoscopic clipping hemostasis (ECH) is a recognized treatment for gastrointestinal bleeding.
• Existing ECH apparatuses present disadvantages limiting their widespread adoption.
• A need exists for improved ECH systems that are user-friendly and effective.

Purpose of the Study:

• To develop and evaluate an improved endoscopic clipping hemostasis (ECH) apparatus.
• To assess the safety and efficacy of the new ECH device in clinical settings.
• To determine the feasibility of using the ECH apparatus without an assistant.

Main Methods:

• Development of a novel ECH apparatus designed for general endoscopic examinations.
• Clinical application of the improved ECH apparatus in 80 patients.
• Evaluation of hemostasis success in patients with upper gastrointestinal bleeding and those undergoing prophylactic clipping post-polypectomy.

Main Results:

• The improved ECH apparatus was successfully used in 80 patients.
• Permanent hemostasis was achieved in 84.3% (43/51) of patients with upper gastrointestinal bleeding.
• No bleeding complications occurred in 100% (29/29) of patients receiving prophylactic clipping after polypectomy.

Conclusions:

• The developed ECH apparatus provides a safe, effective, and easy-to-operate solution for gastrointestinal bleeding.
• The device facilitates hemostasis during general endoscopy without requiring an assistant.
• The improved ECH apparatus demonstrates high success rates for both therapeutic and prophylactic applications.