Endoscopic hemostasis with hemoclips for active gastric variceal bleeding

Morimoto, Takashi; Fu, Kunkun; Konuma, Hironori; Izumi, Yuko; Asano, Akira; Kokubu, Shigehiro; Miyazaki, Arihiro; Watanabe, Susumu

doi:10.1055/s-0030-1255942

Cited by 2 publications

(2 citation statements)

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“…Considering the advantage of high initial hemoastasis rate and decreased risk of bleeding, they suggested that endoscopic clipping is more effective than band ligation. Morimoto et al15 have also reported a case where active gastric variceal bleeding was treated using metallic clips.…”

Section: Discussionmentioning

confidence: 99%

Successful Treatment of Duodenal Variceal Bleeding by Endoscopic Clipping

et al. 2013

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Duodenal varix bleeding is an uncommon cause of gastrointestinal bleeding in patients with portal hypertension but can cause severe and potentially fatal bleeding. However, the incidence is low and a good treatment method has not been well established yet. Duodenal variceal bleeding can be treated surgically or nonsurgically. We have successfully treated a patient with duodenal variceal bleeding secondary to liver cirrhosis using hemoclips to control the bleeding.

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Section: Discussionmentioning

confidence: 99%

Successful Treatment of Duodenal Variceal Bleeding by Endoscopic Clipping

et al. 2013

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“…Arantes 17 used titanium clips to successfully treat emergency GV bleeding, however, the patient was rehospitalized after 4 months with massive fundal variceal bleeding and had to undergo surgery. Morimot 18 reported a case of GV bleeding in a patient with alcoholic cirrhosis where BRTO treatment was repeated 16 days after hemostasis achieved with titanium clips. Perusal of the relevant literature thus revealed that titanium clips can block gastric variceal blood flow and arrest bleeding for only a short period of time.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic clipping prior to GVO vs. GVO in IGV1 bleeding: a multicenter retrospective clinical trial

Ye²,

et al. 2019

Endosc Int Open

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Background and study aims Bleeding from isolated gastric varices type I (IGV1) is more dangerous and fatal than other types of esophageal variceal hemorrhages. However, optimum treatment for bleeding from IGV1 remains undefined. This retrospective study compared the efficacy of endoscopic clipping prior to N-butyl-2-cyanoacrylate injection (GVO) and only GVO for treatment of IGV1. Patients and methods Data were collected retrospectively at three medical centers. Ninety-six patients were enrolled between March 2015 and April 2017 and divided into two groups: group I (patients with endoscopic clipping prior to GVO, n = 46) and group II (patients with only GVO, n = 50). Computed tomography angiography (CTA) was performed to evaluate the status of gastrorenal shunts (GRS). Results GRS was found in 59 of 66 patients (59/66). The groups did not differ in baseline characteristics. Initial hemostasis was successfully achieved in all patients. There was a significant difference in volume of N-butyl-2-cyanoacrylate administered (3.39 ± 1.20 mL in group I versus 2.53 ± 1.05 mL in group II ( P = 0.03). Rebleeding occurred in 4.35% of patients in group I and 18.00 % in group II ( P = 0.007). Variceal obliteration was achieved in all patients in group I and 72 % in group II ( P < 0.001) with only one session. Rate of complications was similar in both the groups with the exception of one patient in group II who developed ectopic cerebral embolism. Conclusions Endoscopic clipping prior to GVO may be an appropriate alternative to GVO as a treatment modality for IGV1 bleeding.

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Endoscopic hemostasis with hemoclips for active gastric variceal bleeding

Cited by 2 publications

References 1 publication

Successful Treatment of Duodenal Variceal Bleeding by Endoscopic Clipping

Successful Treatment of Duodenal Variceal Bleeding by Endoscopic Clipping

Endoscopic clipping prior to GVO vs. GVO in IGV1 bleeding: a multicenter retrospective clinical trial

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