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Endoscopic hemoclip treatment for gastrointestinal bleeding
K F Binmoeller1, F Thonke, N Soehendra
1Department of Endoscopic Surgery, University Hospital Eppendorf, Hamburg, Germany.
Endoscopy
|February 1, 1993
Summary
The Olympus hemoclip effectively treated nonvariceal gastrointestinal bleeding in 88 patients. This endoscopic hemoclip placement is a safe and effective method for controlling bleeding, with minimal re-bleeding.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Nonvariceal gastrointestinal bleeding is a significant clinical challenge.
- Endoscopic interventions are crucial for hemostasis.
Purpose of the Study:
- To evaluate the efficacy and safety of an improved metallic clip (Olympus hemoclip) for endoscopic treatment of nonvariceal gastrointestinal bleeding.
Main Methods:
- An uncontrolled study involving 88 patients with various sources of gastrointestinal bleeding.
- Olympus hemoclip was used for endoscopic treatment.
- Hemostasis was assessed, and clip placement was recorded.
Main Results:
- Initial hemostasis was achieved in all 78 patients with active bleeding.
- A total of 255 clips were placed (average 2.9 per patient).
- Recurrent bleeding occurred in 5 patients, successfully treated with hemoclips in 4, with one requiring surgery. Early clip dislodgement caused re-bleeding in only one patient. No complications were observed.
Conclusions:
- Endoscopic hemoclip placement using the Olympus hemoclip is a highly effective and safe method for managing nonvariceal gastrointestinal bleeding.
- Further comparative studies are warranted to evaluate hemoclip therapy against other endoscopic hemostasis methods.