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Successful combined thermal coagulation and clipping for colonic diverticular bleeding

Chao Yu1, Tingsheng Ling2, Wenyu Jiang1

  • 1Digestive Endoscopy Center, Jiangsu Province Hospital of Chinese Medicine, China.

Revista Espanola De Enfermedades Digestivas
|July 21, 2026
PubMed

Insights

Colonic diverticular bleeding (CDB) is a common cause of lower GI bleeding. A combined endoscopic approach of thermal coagulation and clipping effectively managed a CDB case, potentially reducing rebleeding risk.

Area of Science:

  • Gastroenterology
  • Endoscopic interventions

Background:

  • Colonic diverticular bleeding (CDB) is the primary cause of lower gastrointestinal bleeding.
  • Despite initial endoscopic hemostasis, CDB has a high rate of rebleeding.

Purpose of the Study:

  • To report a case of CDB successfully managed with a combined endoscopic approach.
  • To evaluate the efficacy of combined thermal coagulation and clipping for CDB.

Main Methods:

  • A case of CDB was treated using a combination of thermal coagulation and endoscopic clipping.
  • The procedure aimed for initial hemostasis and prevention of recurrent bleeding.

Main Results:

  • The combined endoscopic hemostasis technique successfully controlled the active colonic diverticular bleeding.
  • The patient did not experience rebleeding during the follow-up period.

Conclusions:

  • Combined thermal coagulation and clipping is a viable strategy for managing selected cases of CDB.
  • This approach may offer improved outcomes by reducing the high rebleeding rates associated with CDB.

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