Case report of a hemostatic clip being retained for 2 years after deployment

Ooi, Boon Phoe; Hassan, Muhammad Radzi Abu; Kiew, Kuang Kiat; Chin, Kuen L.; Zainuddin, Zalwani

doi:10.1016/j.gie.2010.03.1053

Cited by 11 publications

(7 citation statements)

References 11 publications

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“…Due to the short retention time of the clips, health personnel usually forget to advise patients to abstain from diagnostic procedures that are contraindicated with a stainless-steel hemoclip in place, such as MRI. However, a clip can still be retained at 2 years, as reported in one case [3]. Our case showed that a clip can be retained even longer, for 2 years and 3 months.…”

supporting

confidence: 70%

“…The average time that clips remain in place was reported as 9.4 days in the Olympus product insert and manual. It has been widely accepted that endoscopic clips detach within a 2-week period [3]. Due to the short retention time of the clips, health personnel usually forget to advise patients to abstain from diagnostic procedures that are contraindicated with a stainless-steel hemoclip in place, such as MRI.…”

mentioning

confidence: 99%

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Hemoclip retained for more than 2 years

2012

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supporting

confidence: 70%

mentioning

confidence: 99%

Hemoclip retained for more than 2 years

2012

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“…9 Although hemoclips are generally thought to fall off after approximately 2 weeks, there are reports of clip retention for up to 2 years. [10][11][12] Whether there is a relationship between hemoclips retention and control of bleeding is unknown.…”

Section: Mechanismmentioning

confidence: 99%

Mechanical Hemostasis Techniques in Nonvariceal Upper Gastrointestinal Bleeding

Brock

Rockey

2015

Gastrointestinal Endoscopy Clinics of North America

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“…It is traditionally believed that a hemoclip spends an average of 2 weeks before sloughing off and then being eliminated naturally from the body. In the absence of any published research dedicated to the retention time, this value is rather speculative: much longer durations have been reported, even in excess of 2 years [144,145,146]. The existing literature indicates that rebleeding is virtually the only complication of hemoclipping, such suggesting that the clip material may be highly biocompatible and does not induce other complications and, therefore, implying that its retention time in the body is of little significance.…”

Section: Clipping For Endoscopic Control Of Bleedingmentioning

confidence: 99%

Biomaterials in Gastroenterology: A Critical Overview

Goldiş

Goldis²,

Chirilă

2019

Medicina

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In spite of the large diversity of diagnostic and interventional devices associated with gastrointestinal endoscopic procedures, there is little information on the impact of the biomaterials (metals, polymers) contained in these devices upon body tissues and, indirectly, upon the treatment outcomes. Other biomaterials for gastroenterology, such as adhesives and certain hemostatic agents, have been investigated to a greater extent, but the information is fragmentary. Much of this situation is due to the paucity of details disclosed by the manufacturers of the devices. Moreover, for most of the applications in the gastrointestinal (GI) tract, there are no studies available on the biocompatibility of the device materials when in intimate contact with mucosae and other components of the GI tract. We have summarized the current situation with a focus on aspects of biomaterials and biocompatibility related to the device materials and other agents, with an emphasis on the GI endoscopic procedures. Procedures and devices used for the control of bleeding, for polypectomy, in bariatrics, and for stenting are discussed, particularly dwelling upon the biomaterial-related features of each application. There are indications that research is progressing steadily in this field, and the establishment of the subdiscipline of “gastroenterologic biomaterials” is not merely a remote projection. Upon the completion of this article, the gastroenterologist should be able to understand the nature of biomaterials and to achieve a suitable and beneficial perception of their significance in gastroenterology. Likewise, the biomaterialist should become aware of the specific tasks that the biomaterials must fulfil when placed within the GI tract, and regard such applications as both a challenge and an incentive for progressing the research in this field.

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Case report of a hemostatic clip being retained for 2 years after deployment

Cited by 11 publications

References 11 publications

Hemoclip retained for more than 2 years

Hemoclip retained for more than 2 years

Mechanical Hemostasis Techniques in Nonvariceal Upper Gastrointestinal Bleeding

Biomaterials in Gastroenterology: A Critical Overview

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