| International Session（Panel Discussion）2(JGES・JSGE・JSGS) |
| Sat. November 2nd 14:00 - 17:00 Room 9: Portopia Hotel Main Building Kairaku 3 |
| Direct clipping using a long hood and a reopenable clip for colonic diverticular hemorrhage | |||
| Kazuya Miyaguchi1, Yoshikazu Tsuzuki1, Hiroyuki Imaeda1 | |||
| 1Department of Gastroenterology, Saitama Medical University | |||
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| Background and aims: We have reported the efficacy of colonoscopy using a long hood in the identification rate of bleeding points for colorectal diverticular hemorrhage (CDH) compared to a short hood prospectively. Herein, we examined hemostatic techniques for CDH using the colonoscope with a long hood and a reopenable clip. Patients and methods: We investigated the identification of the bleeding point and hemostatic method using a reopenable clip in 40 patients who underwent colonoscopy with a long hood for CDH between August 2022 and February 2024. Results: Hemoclipping was conducted in 27 cases. Especially, in six cases, it was difficult to identify the bleeding site even after removing the clot, nevertheless, hemoclipping was conducted under the blind. In six cases, the bleeding site could be identified regardless of the difficulty of inversion of the small diverticulum; in four cases, the bleeding site was identified through underwater immersion; in one case, the bleeding point was identified due to widening of the diverticulum by opening the clip inside; in one case, it was difficult to observe the bottom of the small bleeding diverticulum, therefore the clip was useful by the insertion inside the diverticulum. Rebleeding was observed in two cases within one month. Conclusion: The long hood facilitated the identification of the bleeding site of CDH and the direct hemoclipping using a reopenable clip was effective. |
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Index Term 1: Colorectal Diverticular Hemorrhage Index Term 2: Reopenable clip |
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