Endoscopic detachable snare ligation: a new treatment method for colonic diverticular hemorrhage.

Abstract:

BACKGROUND AND STUDY AIMS:Colonic diverticular hemorrhage is the most common cause of lower intestinal bleeding. We tried to develop a convenient and reliable hemostatic method, endoscopic detachable snare ligation (EDSL), to treat diverticular hemorrhage and retrospectively explored its safety and efficacy. PATIENTS AND METHODS:The definitive bleeding diverticulum was ligated with a detachable snare, instead of a rubber band, in a procedure similar to endoscopic band ligation. Removal of the scope to attach a ligation device and reinsertion for treatment are not needed in this method. RESULTS:From November 2013 to September 2014, EDSL was used to treat 8 patients with colonic diverticular hemorrhage. The mean procedure time required for hemostasis after identification of the bleeding diverticulum was 5 ± 2 minutes. Sustained hemostasis was achieved in 7 patients (88 %), and early rebleeding occurred in 1 patient, in whom the applied suction seemed inadequate. No complications occurred in any patient. CONCLUSIONS:EDSL may be a safe and effective treatment for colonic diverticular hemorrhage. However, additional studies are warranted to confirm these initial exploratory data.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Akutsu D,Narasaka T,Wakayama M,Terasaki M,Kaneko T,Matsui H,Suzuki H,Hyodo I,Mizokami Y

doi

10.1055/s-0034-1392204

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1039-42

issue

11

eissn

0013-726X

issn

1438-8812

journal_volume

47

pub_type

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