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Endoscopic treatment of upper GI hemorrhage with a novel irrigating hood attached to the endoscope.

Abstract：

BACKGROUND:Despite advances in endoscopic treatment methods for upper GI hemorrhage, hemostasis is often difficult to achieve, particularly when the endoscopic view at the site of hemorrhage is poor because of the presence of mucus and blood. The investigators developed an end hood that facilitates endoscopic hemostatic procedures while simultaneously allowing irrigation of the bleeding site. The usefulness of this end hood for treatment of upper GI hemorrhage, excluding hemorrhage from varices, was evaluated. METHODS:The end-hood piece was fabricated by drilling a side hole in the cap portion of a conventional transparent hood. An irrigation tube then was glued to the exterior surface of the hole. The fabricated transparent hood was placed on the tip of an endoscope. With the hood piece in place, hemoclip placement and other endoscopic hemostatic procedures were performed in 15 patients with nonvariceal upper GI hemorrhage. RESULTS:Hemostasis was successfully achieved in all cases. In all cases of active hemorrhage, hemostatic treatment was enhanced by simultaneous irrigation beneath the hood. The median time required for the hemostatic procedure with the attached hood was 4.8 minutes. CONCLUSION:The end-hood irrigation device and technique facilitate endoscopic hemostatic treatment of nonvariceal upper GI hemorrhage.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Kume K,Yoshikawa I,Otsuki M

doi

10.1067/mge.2003.206

keywords:

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

732-5

issue

6

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(03)00314-6

journal_volume

57

pub_type

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