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Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal 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...
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Related Experiment Video

Updated: Jun 30, 2026

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
04:09

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices

Published on: June 13, 2025

Endoscopic Coagulation with Clipping for Colonic Diverticular Bleeding: A Practical Hemostatic Strategy.

Toru Matsui1, Chihiro Tanaka1, Atsushi Horie1

  • 1Department of GastroenterologyNagaoka Chuo General HospitalNiigataJapan.

Endoscopy International Open
|June 29, 2026
PubMed
Summary

Endoscopic coagulation with clipping (ECC) effectively managed colonic diverticular bleeding in a real-world setting, demonstrating a low rebleeding rate and a favorable safety profile for this challenging condition.

Keywords:
diagnosis and imaging (inc chromoendoscopy, NBI, iSCAN, FICE, CLE)endoscopy lower GI tractendoscopy upper GI tractlower GI bleedingnon-variceal bleeding

Related Experiment Videos

Last Updated: Jun 30, 2026

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
04:09

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices

Published on: June 13, 2025

Area of Science:

  • Gastroenterology
  • Endoscopic Surgery
  • Clinical Outcomes Research

Background:

  • Colonic diverticular bleeding presents significant management challenges.
  • Endoscopic coagulation with clipping (ECC) is an established technique, but real-world data on its efficacy are limited.

Purpose of the Study:

  • To evaluate the clinical outcomes and safety of endoscopic coagulation with clipping (ECC) for colonic diverticular bleeding.
  • To determine the rebleeding rates and adverse events associated with ECC.

Main Methods:

  • A single-center retrospective case series included 83 patients with endoscopically confirmed colonic diverticular bleeding treated with ECC.
  • Data collected from January 2017 to December 2025.
  • Rebleeding was defined as recurrent hematochezia within 30 days; adverse events were recorded.

Main Results:

  • The overall 30-day rebleeding rate was 8.4% (7/83 patients), with most occurring within 7 days.
  • Rebleeding rates varied based on bleeding stigmata: 5.6% for active bleeding and 14.8% for nonbleeding visible vessels/clots.
  • Procedure-related adverse events occurred in 3.6% (3/83) of patients and were managed conservatively.

Conclusions:

  • Endoscopic coagulation with clipping (ECC) demonstrated a low rebleeding rate in this cohort of patients with colonic diverticular bleeding.
  • ECC appears to be a practical and safe hemostatic option when the bleeding diverticulum is clearly identified during endoscopy.