Endoscopic hemoclipping using a transparent cap in technically difficult cases.

Abstract:

BACKGROUND AND STUDY AIMS:Technical difficulties have been experienced in endoscopic hemoclipping on the posterior wall of the body of the stomach because the angle of approach is tangential. It has been suggested that the use of a transparent cap on the tip of the endoscope could help to solve this problem. The purpose of this study was to examine the efficacy of endoscopic hemoclipping using a transparent cap over the tip of the endoscope. PATIENTS AND METHODS:A total of 74 patients with a bleeding peptic ulcer or stigmata of recent hemorrhage underwent endoscopic hemoclipping. Technical difficulty in hemoclipping was experienced in 18 patients and the transparent cap was used in these cases. We therefore conducted a nonrandomized prospective study to compare bleeding control with the hemoclip with and without the aid of a transparent cap. RESULTS:There were no statistically significant differences between the patients treated with the cap and those treated without the cap with regard to the initial hemostasis rate (94.4 % vs. 91.1 %), the rebleeding rate (11.7 % vs. 11.8 %), or the permanent hemostasis rate (94.4 % vs. 96.4 %). CONCLUSIONS:Although there was no statistically significant difference between patients treated with or without a transparent cap, hemoclipping with the aid of the cap made it possible to clip a lesion too tangential to be clipped without it. However, this study did not compare conventional hemoclipping with hemoclipping using a cap because the cap was only used in cases in which conventional clipping had failed.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Kim JI,Kim SS,Park S,Han J,Kim JK,Han SW,Choi KY,Chung IS,Chung KW,Sun HS

doi

10.1055/s-2003-41512

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

659-62

issue

8

eissn

0013-726X

issn

1438-8812

journal_volume

35

pub_type

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