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Endoscopic clipping for gastrointestinal bleeding: emergency and prophylactic indications
Amaury Teixeira Xavier1,2, Júlia Faria Campos1,2, Lucinda Robinson3
1Endoscopy Unit, Alfa Institute of Gastroenterology, Clinics Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil (Amaury Teixeira Xavier, Júlia Faria Campos, Vitor Nunes Arantes).
Annals of Gastroenterology
|November 9, 2020
Summary
Endoscopic clipping is a common gastrointestinal procedure for stopping bleeding and closing perforations. This review covers its uses in the esophagus, stomach, and colon, including preventing bleeding after polyp removal.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Endoscopic clipping is a widely adopted technique in gastrointestinal endoscopy.
- Both through-the-scope (TTS) and over-the-scope (OTS) clip models are available.
- Primary applications include hemostasis for bleeding lesions and closure of gastrointestinal perforations.
Purpose of the Study:
- To review the primary indications for endoscopic clipping in the gastrointestinal tract.
- To discuss the application of endoscopic clips for managing acute bleeding.
- To outline criteria for preventing delayed post-polypectomy bleeding.
Main Methods:
- Literature review of endoscopic clipping techniques and applications.
- Analysis of indications for through-the-scope and over-the-scope clips.
- Discussion of prophylactic use and prevention of delayed bleeding.
Main Results:
- Endoscopic clips are effective for mechanical hemostasis in acute gastrointestinal bleeding.
- Clips facilitate endoscopic closure of perforations across various GI segments.
- Prophylactic use of clips after endoscopic resection remains a debated topic.
Conclusions:
- Endoscopic clipping is a versatile tool for managing bleeding and perforations in the esophagus, stomach, and colon.
- Careful patient selection and technique are crucial for successful outcomes.
- Further research may clarify the role of prophylactic clipping in preventing delayed bleeding.
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