Endoscopic clipping for gastrointestinal bleeding: emergency and prophylactic indications

被引：9

作者：

Xavier, Amaury Teixeira ^{[1
,3
]}

Campos, Julia Faria ^{[1
,3
]}

Robinson, Lucinda ^{[2
]}

Moreira Lima, Elmar Jose ^{[3
]}

Miranda da Rocha, Luiz Claudio ^{[4
]}

Arantes, Vitor Nunes ^{[1
]}

机构：

[1] Univ Fed Minas Gerais, Clin Hosp, Alfa Inst Gastroenterol, Endoscopy Unit, Belo Horizonte, MG, Brazil

[2] Flinders Med Ctr, Dept Med, Adelaide, SA, Australia

[3] Mil Hosp Minas Gerais, Endoscopy Unit, Belo Horizonte, MG, Brazil

[4] Mater Dei Hosp, Belo Horizonte, MG, Brazil

来源：

ANNALS OF GASTROENTEROLOGY | 2020年 / 33卷 / 06期

关键词：

Endoclip; mechanical hemostasis; gastrointestinal bleeding; prophylaxis; post-polypectomy; MALLORY-WEISS SYNDROME; THE-SCOPE-CLIPS; HEMOCLIP PLACEMENT; DIVERTICULAR HEMORRHAGE; MUCOSAL RESECTION; EUROPEAN-SOCIETY; BAND LIGATION; PEPTIC-ULCER; METAANALYSIS; POLYPECTOMY;

D O I：

10.20524/aog.2020.0526

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Endoscopic clipping has become a common practice among endoscopists. Several models are available, most frequently being introduced via the working channel of the endoscope (through-the-scope); however, larger clips can also be mounted onto the distal tip of the endoscope (over-the-scope). The main indications for endoclip placement include providing effective mechanical hemostasis for bleeding lesions and allowing endoscopic closure of gastrointestinal perforations. Endoclips can also be used prophylactically after endoscopic resection; however, this practice is still controversial. This review discusses the main indications for endoscopic clipping in the esophagus, stomach, duodenum and colon to manage acute bleeding lesions, and the criteria to be used in the prevention of delayed post-polypectomy bleeding.

引用

页码：563 / 570

页数：8

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