Endoscopic clipping for the management of gastrointestinal bleeding

Constantinos P. Anastassiades; Todd H. Baron; Louis M.Wong Kee Song

doi:10.1038/ncpgasthep1233

Endoscopic clipping for the management of gastrointestinal bleeding

Constantinos P. Anastassiades, Todd H. Baron, Louis M.Wong Kee Song

Gastroenterology and Hepatology

Research output: Contribution to journal › Review article › peer-review

25 Scopus citations

Abstract

Endoscopic clipping is a safe and effective technique for the treatment of various bleeding gastrointestinal lesions. Randomized controlled trials and a meta-analysis have shown comparable efficacy between clipping and conventional contact thermal therapy for definitive hemostasis of nonvariceal upper gastrointestinal hemorrhage. Clipping also seems to be efficacious for selected lower gastrointestinal bleeding lesions, such as diverticular bleeding and postpolypectomy bleeding. Proficiency in clip application and endoscopic identification of lesions that are amenable to clipping are key determinants of a successful outcome.

Original language	English (US)
Pages (from-to)	559-568
Number of pages	10
Journal	Nature Clinical Practice Gastroenterology and Hepatology
Volume	5
Issue number	10
DOIs	https://doi.org/10.1038/ncpgasthep1233
State	Published - Aug 20 2008

ASJC Scopus subject areas

Hepatology
Gastroenterology

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AB - Endoscopic clipping is a safe and effective technique for the treatment of various bleeding gastrointestinal lesions. Randomized controlled trials and a meta-analysis have shown comparable efficacy between clipping and conventional contact thermal therapy for definitive hemostasis of nonvariceal upper gastrointestinal hemorrhage. Clipping also seems to be efficacious for selected lower gastrointestinal bleeding lesions, such as diverticular bleeding and postpolypectomy bleeding. Proficiency in clip application and endoscopic identification of lesions that are amenable to clipping are key determinants of a successful outcome.

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