Endoscopic hemostatic devices

The American Society for Gastrointestinal Endoscopy (ASGE) Technology Committee prot,ides reviews of existing. new, or emerging endoscopic technologies, that have an impact on the practice of GI endoscopy. Evidence-based methodology is used, with a MEDLINE literature search to identify pertinent clinical studies On The topic and a MAUDE (US Food and Drug Administration Center for Devices and Radiological Health) database search to identify the reported complications of a given technology. Both are supplemented by accessing the "related articles" feature of PubMed and by scrutinizing, pertinent references cited by the identified studies. Controlled clinical trials are emphasized, but, in many cases, data from randomized, controlled trials are lacking. In such cases, large case series, preliminary clinical studies, and expert opinions are used. Technical data are traditional and Web-based publications, proprietary publications, and informed communications with pertinent vendors. Technology Status Evaluation Reports are drafted by 1 or 2 members of the ASGE Technology Committee, reviewed and edited by the by the committee as a whole, and approved by The Governing Board of the ASGE. When financial guidance is indicated, the most recent coding data and list prices at the time of publication are provided. For this review, The MEDLINE database was searched through September 2008 for articles related to endoscopic hemostatic devices by using the keywords "multipolar electrocautery," "bipolar electrocautery," "heater probe, " "hemostatic grasper," "argon plasms coagulator," "injection needle," "endoloop," "clip," paired with "complication." "perforation," "peptic ulcer disease. " "gastric antral vascular ectasia, " "Dieulafoy lesion," "Mallory-Weiss tear," "radiation induced angioectasias," "diverticular bleeding," "angiodysplasia," and "postpolypectomy bleeding." Technology Status Evaluation, Reports are scientific reviews provided solely for educational and informational purposes. Technology Status Evaluation, Reports are not rules and should not be construed as establishing a legal standard of care or as encouraging, advocating requiring or discouraging any particular treatment or payment for such treatment.