Emerging endoscopic therapies for nonvariceal upper gastrointestinal bleeding

Abstract

Several new devices and innovative adaptations of existing modalities have emerged as primary, adjunctive, or rescue therapy in endoscopic hemostasis of gastrointestinal hemorrhage. These techniques include over-the-scope clip devices, hemostatic sprays, cryotherapy, radiofrequency ablation, endoscopic suturing, and endoscopic ultrasound-guided angiotherapy. This review highlights the technical aspects and clinical applications of these devices in the context of nonvariceal upper gastrointestinal bleeding.

Keywords: Cryotherapy; EUS-guided angiotherapy; Endoscopic suturing; Hemostasis; Hemostatic spray; Nonvariceal upper gastrointestinal bleeding; Over-the-scope clip; Radiofrequency ablation.