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Zeng S, Zhang Q, Li Q, Luo Q, Jiang M, Cheng CS. Surgical suture-assisted endoscopic band ligation for the management of recurrent hemostasis after unsuccessful use of hemoclips for diverticular bleeding. Endoscopy 2023; 55:E1164-E1165. [PMID: 37984392 PMCID: PMC10659840 DOI: 10.1055/a-2183-6154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Affiliation(s)
- Shaoxiong Zeng
- Department of Gastroenterology and Endoscopy Center, Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital) and the 6th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
| | - Qu Zhang
- Department of Gastroenterology and Endoscopy Center, Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital) and the 6th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
| | - Qin Li
- Department of Gastroenterology and Endoscopy Center, Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital) and the 6th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
| | - Qingtian Luo
- Department of Gastroenterology and Endoscopy Center, Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital) and the 6th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
| | - Minwen Jiang
- Department of Gastroenterology and Endoscopy Center, Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital) and the 6th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
| | - Chun-sheng Cheng
- Department of Gastroenterology and Endoscopy Center, Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital) and the 6th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
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Kobayashi Y, Ando K, Sasaki T, Ueno N, Kashima S, Moriichi K, Fujiya M. Usefulness of endoscopic band ligation with gel immersion endoscopy for colonic diverticular bleeding and hemorrhoidal bleeding. Endoscopy 2022; 54:E384-E385. [PMID: 34374049 DOI: 10.1055/a-1550-1913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- Yu Kobayashi
- Gastroenterology and Endoscopy, Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Hokkaido, Japan
| | - Katsuyoshi Ando
- Gastroenterology and Endoscopy, Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Hokkaido, Japan
| | - Takahiro Sasaki
- Gastroenterology and Endoscopy, Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Hokkaido, Japan
| | - Nobuhiro Ueno
- Gastroenterology and Endoscopy, Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Hokkaido, Japan
| | - Shin Kashima
- Gastroenterology and Endoscopy, Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Hokkaido, Japan
| | - Kentaro Moriichi
- Gastroenterology and Endoscopy, Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Hokkaido, Japan
| | - Mikihiro Fujiya
- Gastroenterology and Endoscopy, Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Hokkaido, Japan
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Teshima H, Yamashita K, Oka S. Case of gel immersion endoscopy: Efficacy of identification and achieving hemostasis for diverticular hemorrhage in the sigmoid colon. Dig Endosc 2022; 34:e62-e63. [PMID: 35191088 DOI: 10.1111/den.14253] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Revised: 01/07/2022] [Accepted: 01/27/2022] [Indexed: 12/12/2022]
Affiliation(s)
- Hajime Teshima
- Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan
| | - Ken Yamashita
- Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan
| | - Shiro Oka
- Department of Gastroenterology and Metabolism, Hiroshima University Hospital, Hiroshima, Japan
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Cañamares-Orbís P, Lanas Arbeloa Á. New Trends and Advances in Non-Variceal Gastrointestinal Bleeding-Series II. J Clin Med 2021; 10:3045. [PMID: 34300211 PMCID: PMC8303152 DOI: 10.3390/jcm10143045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 07/03/2021] [Accepted: 07/05/2021] [Indexed: 12/12/2022] Open
Abstract
The gastrointestinal tract is a long tubular structure wherein any point in the mucosa along its entire length could be the source of a hemorrhage. Upper (esophagel and gastroduodenal) and lower (jejunum, ileum, and colon) gastrointestinal bleeding are common. Gastroduodenal and colonic bleeding are more frequent than bleeding from the small bowel, but nowadays the entire gastrointestinal tract can be explored endoscopically and bleeding lesions can be locally treated successfully to stop or prevent further bleeding. The extensive use of antiplatelet and anticoagulants drugs in cardiovascular patients is, at least in part, the cause of the increasing number of patients suffering from gastrointestinal bleeding. Patients with these conditions are usually older and more fragile because of their comorbidities. The correct management of antithrombotic drugs in cases of gastrointestinal bleeding is essential for a successful outcome for patients. The influence of the microbiome in the pathogenesis of small bowel bleeding is an example of the new data that are emerging as potential therapeutic target for bleeding prevention. This text summarizes the latest research and advances in all forms of acute gastrointestinal bleeding (i.e., upper, small bowel and lower). Diagnosis is approached, and medical, endoscopic or antithrombotic management are discussed in the text in an accessible and comprehensible way.
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Affiliation(s)
- Pablo Cañamares-Orbís
- Gastroenterology, Hepatology and Nutrition Unit, San Jorge University Hospital, 22004 Huesca, Spain
| | - Ángel Lanas Arbeloa
- IIS Aragón, CIBERehd, 50009 Zaragoza, Spain;
- Service of Digestive Diseases, University Clinic Hospital Lozano Blesa, 50009 Zaragoza, Spain
- University of Zaragoza, 500009 Zaragoza, Spain
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Akamine E, Asai S, Jimbo H, Takeshita K, Ichinona T, Fujimoto N. Guidewire-assisted method to achieve hemostasis in colonic diverticular bleeding in the ascending colon. Endoscopy 2021; 53:E120-E121. [PMID: 32707581 DOI: 10.1055/a-1216-0413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- Eisuke Akamine
- Department of Gastroenterology, Tane General Hospital, Osaka, Japan
| | - Satoshi Asai
- Department of Gastroenterology, Tane General Hospital, Osaka, Japan
| | - Hitomi Jimbo
- Department of Gastroenterology, Tane General Hospital, Osaka, Japan
| | - Kotaro Takeshita
- Department of Gastroenterology, Tane General Hospital, Osaka, Japan
| | - Takumi Ichinona
- Department of Gastroenterology, Tane General Hospital, Osaka, Japan
| | - Naoki Fujimoto
- Department of Gastroenterology, Tane General Hospital, Osaka, Japan
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Xie S, Ruan MF, Wang J, Li MB. Endoscopic band ligation for transverse colonic variceal bleeding: case report and review of the literature. Ann Saudi Med 2020; 40:255-258. [PMID: 32493047 PMCID: PMC7270620 DOI: 10.5144/0256-4947.2020.255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Colonic varices are lesser-known in comparison with gastroesophageal varices in a complication associated with liver cirrhosis. The ideal therapeutic intervention for a colonic varix is still unclear. We report a 42 year-old man with 20 years of alcohol use who presented with hematochezia and abdominal distension. The patient was diagnosed with alcoholic liver cirrhosis. The colonoscopy revealed a dilated and tortuous varix in the transverse colon close to the hepatic flexure with oozing blood, a communicating branch and with "red sign", evidence of acute bleeding. Endoscopic band ligation (EBL), the most useful intervention for esophageal varices, was further successfully performed to arrest the bleeding colonic varices. One month after initial treatment, the colonic varices nearly vanished and were replaced by an ulcer. It is extremely rare for colonic varices to be treated with EBL. There is only one similar case in reported literature, but it seems to be safe and effective as an intervention for EBL for acute colonic variceal bleeding. SIMILAR CASES: Second case treated by endoscopic band ligation.
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Affiliation(s)
- Shan Xie
- From the Department of Gastroenterology, First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Ming Fang Ruan
- From the Department of Gastroenterology, First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Jiang Wang
- From the Department of Gastroenterology, First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Min Bi Li
- From the Department of Gastroenterology, First Affiliated Hospital of Nanchang University, Nanchang, China
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7
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Suzuki S, Esaki M, Ichijima R. Direct clipping method with a repositioning endoscopic clip for colonic diverticular bleeding. Dig Endosc 2020; 32:e67-e68. [PMID: 32103547 DOI: 10.1111/den.13639] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Revised: 01/16/2020] [Accepted: 01/23/2020] [Indexed: 02/08/2023]
Affiliation(s)
- Sho Suzuki
- Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
| | - Mitsuru Esaki
- Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
| | - Ryoji Ichijima
- Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
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8
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Doi H, Sasajima K, Takahashi M. Using an over-the-scope clip for colonic diverticular hemorrhage. Dig Endosc 2019; 31:e80-e81. [PMID: 30822362 DOI: 10.1111/den.13384] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2018] [Accepted: 02/25/2019] [Indexed: 02/08/2023]
Affiliation(s)
- Hirosato Doi
- Department of Digestive Internal Medicine, Saitama Red Cross Hospital, Saitama, Japan
| | - Keita Sasajima
- Department of Digestive Internal Medicine, Saitama Red Cross Hospital, Saitama, Japan
| | - Masanori Takahashi
- Department of Digestive Internal Medicine, Saitama Red Cross Hospital, Saitama, Japan
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