A safe and effective technique for endoscopic removal of adherent clots from GI lesions: Cold guillotining after epinephrine injection

Endoscopic Hydrogen Peroxide Spray May Facilitate Localization of the Bleeding Site in Acute Upper Gastrointestinal Bleeding

“…In the erythromycin study the clot scores were significantly better than with gastric lavage only, but the completion rate in esophagogastroduodenoscopy and the identification of bleeding lesions were the same as in the control group [14]. Jensen et al [15] reported that a sudy using forceful endoscopic removal of nonbleeding adherent clots with a probe or polyp grasper, along with single endoscopic therapy with a heater probe or injection was associated with arithmetically higher ulcer rebleed rates and costs of care than was medical treatment.…”

Urgent Colonoscopy for the Diagnosis and Treatment of Severe Diverticular Hemorrhage

“…Then the underlying stigmata (usually a nonbleeding visible vessel) was coagulated with a bipolar probe. 13 For future identification in the event of repeated colonoscopy or surgical procedure, the mucosa adjacent to the diverticulum was labeled with India ink. 14 After recovery from sedation, patients were given full liquid diets for 24 hours and then switched to regular diets as tolerated.…”

“…These rates of recurrent bleeding are similar to those reported for patients with peptic ulcers and similar stigmata of recent hemorrhage who were treated medically. 19 The colonoscopic treatments used for hemostasis differed depending on the stigmata of hemorrhage and were based on our experience with endoscopic treatment of peptic ulcers with the same signs of hemorrhage, 13,16 prior laboratory work, 11 and a recent pilot study of the treatment of nonbleeding visible vessels in diverticula. 9 Active bleeding or adherent clots were first treated with an epinephrine injection, whereas nonbleeding visible vessels were coagulated, without an epinephrine injection.…”