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Effectiveness of Endoclips for the Treatment of Stigmata of Recent Hemorrhage in the Colon of Patients with Acute Lower Gastrointestinal Tract Bleeding

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Abstract

Aims and Methods

Coaptive thermo coagulation (CTC) for the treatment of stigmata of recent hemorrhage (SRH) in the colon is risky. We evaluated the safety and effectiveness of endoclips in 13 patients with acute lower gastrointestinal bleeding (GIB). Thirty-day re-bleeding and complication rates were comparable to a historical cohort of 41 patients (group 2) who underwent CTC/IE (injection epinephrine) for the management of acute lower GIB.

Results

There was no difference in the 30-day re-bleeding rates in the two groups. In group I, immediate hemostasis was successful in all patients. Three of 13 patients (23.1%) developed re-bleeding. In group II, 41 patients from six prior studies underwent CTC and/or IE for the treatment of HRS where 12 (29.3%) developed re-bleeding. There were no immediate complications.

Conclusions

Endoclip deployment is as effective as CTC and/or IE for treatment of SRH in the colon.

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Conflict of interest

There are no conflicts of interest to declare for any of the authors.

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Authors and Affiliations

  1. Northport VA Medical Center, Stony Brook University, 79 Middleville Road, Northport, NY, 11768, USA

    Atul Kumar

  2. University of São Paulo Medical School, São Paulo, SP, Brazil

    Everson Artifon

  3. Northport VA Medical Center, Stony Brook University, School of Math & Science, Stony Brook, NY, 11794, USA

    Adrienne Chu

  4. Winthrop University Medical Center, Mineola, NY, USA

    Bhawna Halwan

Authors
  1. Atul Kumar
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  2. Everson Artifon
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  3. Adrienne Chu
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  4. Bhawna Halwan
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Correspondence to Atul Kumar.

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Kumar, A., Artifon, E., Chu, A. et al. Effectiveness of Endoclips for the Treatment of Stigmata of Recent Hemorrhage in the Colon of Patients with Acute Lower Gastrointestinal Tract Bleeding. Dig Dis Sci 56, 2978–2986 (2011). https://doi.org/10.1007/s10620-011-1683-1

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  • DOI: https://doi.org/10.1007/s10620-011-1683-1

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