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Tools and Techniques for Gastrointestinal Hemostasis

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Principles of Flexible Endoscopy for Surgeons

Abstract

Acute gastrointestinal (GI) bleeding can be amongst the most challenging GI conditions for care givers and is optimally managed in a multidisciplinary fashion. Team members can be highly variable and may include an emergency room physician, interventional radiologist or vascular surgeon, gastroenterologist, intensivist, and surgeon or surgical endoscopist. It is vital to have clear, concise, and current communication among team members to optimize outcome for the patient. Each member has a critical role from initiating resuscitation promptly in the emergency room, to endoscopic diagnostic and therapeutic management, to endovascular or interventional radiologic strategies if endoscopic therapies fail, and finally to post-procedure support and monitoring of the patient. This chapter provides an in-depth look at the tools used to gain endoscopic hemostasis in the GI tract. Basic elements of the proper evaluation and preparation of a patient for endoscopic therapy of GI bleeding are also covered.

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Author information

Authors and Affiliations

  1. Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA

    Sajida Ahad M.D. & John D. Mellinger M.D., F.A.C.S.

Authors
  1. Sajida Ahad M.D.
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  2. John D. Mellinger M.D., F.A.C.S.
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Corresponding author

Correspondence to John D. Mellinger M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Jeffrey M. Marks

  2. The Methodist Hospital, Methodist Institute for Technology, Innovation and Education, Houston, Texas, USA

    Brian J. Dunkin

Electronic supplementary material

Below is the link to the electronic supplementary material.

Active arterial bleeding from a polypectomy site (Video courtesy of Aman Ali, MD) (AVI 44949 kb)

Same site as depicted in video one after control with an endoscopically placed clip (Video courtesy of Aman Ali, MD) (AVI 23094 kb)

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Ahad, S., Mellinger, J.D. (2013). Tools and Techniques for Gastrointestinal Hemostasis. In: Marks, J., Dunkin, B. (eds) Principles of Flexible Endoscopy for Surgeons. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6330-6_8

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  • DOI: https://doi.org/10.1007/978-1-4614-6330-6_8

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6329-0

  • Online ISBN: 978-1-4614-6330-6

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