1. Endoscopic detachable snare ligation: a new treatment method for colonic diverticular hemorrhage.
- Author
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Daisuke Akutsu, Toshiaki Narasaka, Mariko Wakayama, Masahiko Terasaki, Tsuyoshi Kaneko, Hirofumi Matsui, Hideo Suzuki, Ichinosuke Hyodo, Yuji Mizokami, Akutsu, Daisuke, Narasaka, Toshiaki, Wakayama, Mariko, Terasaki, Masahiko, Kaneko, Tsuyoshi, Matsui, Hirofumi, Suzuki, Hideo, Hyodo, Ichinosuke, and Mizokami, Yuji
- Subjects
GASTROINTESTINAL hemorrhage treatment ,COLONOSCOPY ,GASTROINTESTINAL hemorrhage ,LIGATURE (Surgery) ,LONGITUDINAL method ,TREATMENT effectiveness ,COLON diverticulum ,ENDOSCOPIC hemostasis ,DISEASE complications ,EQUIPMENT & supplies - 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. [ABSTRACT FROM AUTHOR]- Published
- 2015
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