Endoscopic band ligation with a water-jet scope for the treatment of colonic diverticular hemorrhage

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Naoki IshiiYoshiyuki Fujita

Abstract

Although lower gastrointestinal bleeding generally has a less severe course and stops spontaneously in most cases without therapeutic intervention, some patients require endoscopic, surgical, or angiographic treatment depending on the nature of the bleeding. We applied endoscopic band ligation (EBL) with a water-jet scope to bleeding colonic diverticula and evaluated the efficacy and safety of EBL retrospectively. Five consecutive patients were diagnosed as having colonic diverticular hemorrhage, and were treated with EBL at St Luke's International Hospital in Tokyo from June 2009 to August 2009. Comorbid diseases, usage of anti-platelet agents, hemoglobin level on admission, procedural time, complications such as perforation and abscess formation, and rebleeding after EBL were retrospectively evaluated. In all cases, EBL achieved successful immediate hemostasis without any procedural complications. In four of five cases, bleeding colonic diverticula were everted after EBL. The mean length of hospital stay after EBL was 5 days (range 4-8 days). No patient exhibited clinical evidence of further bleeding during the mean follow-up period of 3 months (range 2-4 months), and no further intervention was needed after EBL. EBL with a w...Continue Reading

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Citations

Mar 25, 2011·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Naoki IshiiYoshiyuki Fujita
Jul 26, 2013·World Journal of Gastroenterology : WJG·Jeong-Seon Ji, Young-Seok Cho
Dec 31, 2014·Gastroenterology Research and Practice·Tarun Rustagi, Thomas R McCarty
Sep 29, 2011·Gastrointestinal Endoscopy·Naoki IshiiYoshiyuki Fujita
Aug 11, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Atsuo YamadaKazuhiko Koike
Apr 9, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Y FujinoK Suzuki
Oct 18, 2014·World Journal of Gastrointestinal Endoscopy·Takashi IkeyaYoshiyuki Fujita
Jun 22, 2012·World Journal of Gastrointestinal Endoscopy·Nobuyuki SakurazawaEiji Uchida
Jul 15, 2015·ACG Case Reports Journal·Naoki Ishii, Yoshiyuki Fujita
Mar 22, 2019·Journal of Gastroenterology and Hepatology·Hirokazu HondaFumio Omata
Aug 12, 2020·Clinical Endoscopy·Kazuki YamamotoTakashi Ikeya
May 21, 2021·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Atsushi YamauchiShujiro Yazumi

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