Review
doi: 10.1038/ncpgasthep1233.
Epub 2008 Aug 19.
Endoscopic clipping for the management of gastrointestinal bleeding
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- PMID: 18711412
- DOI: 10.1038/ncpgasthep1233
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Review
Endoscopic clipping for the management of gastrointestinal bleeding
Nat Clin Pract Gastroenterol Hepatol.
2008 Oct.
Abstract
Endoscopic clipping is a safe and effective technique for the treatment of various bleeding gastrointestinal lesions. Randomized controlled trials and a meta-analysis have shown comparable efficacy between clipping and conventional contact thermal therapy for definitive hemostasis of nonvariceal upper gastrointestinal hemorrhage. Clipping also seems to be efficacious for selected lower gastrointestinal bleeding lesions, such as diverticular bleeding and postpolypectomy bleeding. Proficiency in clip application and endoscopic identification of lesions that are amenable to clipping are key determinants of a successful outcome.
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