Endoscopic treatment of non-variceal gastrointestinal bleeding: hemoclips and other hemostatic techniques

Endoscopic hemostasis with hemoclips for active gastric variceal bleeding.

ambulance to our institution because of hematemesis. Her medical history included alcoholic cirrhosis with no regular medical follow-upor treatment. Emergency esophagogastroduodenoscopy (EGD) identified a “bleeding jet” from isolated gastric varices in the fundus (●" Fig. 1). Hemostasis was immediately achieved with a hemoclip (●" Fig. 2), and finally a total of eight hemoclips were applied to ...

Acute endoscopic intervention in non-variceal upper gastrointestinal bleeding.

Upper gastrointestinal bleeding is one of the commonest emergencies encountered by general physicians. Once haemodynamic stability has been achieved, therapeutic endoscopy is vital in control and arrest of bleeding. Various methods are available and the evidence is reviewed as to the most optimal approach. Clinical parameters including timing of endoscopy, risk stratification, and predictors of...

Non-variceal upper gastrointestinal bleeding

Management of Non-Variceal Upper Gastrointestinal Bleeding

Nonvariceal upper gastrointestinal bleeding is unique from variceal bleeding in terms of patient characteristics, management, rebleeding rates, and prognosis, and should be managed differently. The majority of nonvariceal upper gastrointestinal bleeds will not rebleed once treated successfully. The incidence is 80 to 90% of all upper gastrointestinal bleeds and the mortality is between 5 to 10%...

Upper gastrointestinal ectopic variceal bleeding treated with various endoscopic modalities

RATIONALE Ectopic variceal bleeding is a rare (2-5%) but fatal gastrointestinal bleed in patients with portal hypertension. Patients with ectopic variceal bleeding manifest melena, hematochezia, or hematemesis, which require urgent managements. Definitive therapeutic modalities of ectopic varices are not yet standardized because of low incidence. Various therapeutic modalities have been applied...