Useful treatment selection strategy for endoscopic hemostasis in colonic diverticular bleeding according to endoscopic findings (with video).

ABSTRACT:

Background and study aims

Direct or indirect clipping and endoscopic band ligation (EBL) are widely used for hemostasis in patients with colonic diverticular bleeding (CDB). However, no treatment selection strategy has been established. This report describes our approach and its outcomes.

Patients and methods

We select direct clipping if the bleeding point is visible and clips could be inserted into the diverticulum. When direct clipping is not feasible, we select EBL as the second choice and indirect clipping as the third. We reviewed data from 192 patients treated with clipping or EBL for definitive CDB with stigmata of recent hemorrhage (SRH) at our hospital between March 2016 and February 2023.

Results

The hemostatic method was clipping in 84 patients (direct, n=7

SUBMITTER: Kishino T 

PROVIDER: S-EPMC11863548 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature