Summary
Endoscopic clipping hemostasis (ECH) is an effective method to control bleeding. However, ordinary clipping apparatuses have not been widely adopted because of several disadvantages. Accordingly, we developed an improved ECH apparatus that can be used during a general endoscopic examination without requiring an assistant. It is not only easy to operate but also ensures safe and effective hemostasis. The ECH apparatus was employed in 80 patients between February 1983 and August 1987 at the Sakura National Hospital. Fifty-one of the patients had upper gastrointestinal bleeding; in 29, preventive clipping was performed after polypectomy. Permanent hemostasis was maintained in 43 (84.3%) of the patients with upper gastrointestinal bleeding, and no bleeding was recognized in any of the 29 patients treated with prophylactic clipping following polypectomy.
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References
Hachisu T, Nakao T, Suzuki N (1985) The endoscopic clipping hemostasis against upper gastrointestinal bleeding (a device of the improved clip and its clinical study). Gastroenterol Endosc 27: 276–281
Hachisu T, Nakao T, Nagata M, Ohmori K, Kashiwabara H, Yokoyama T, Nagamine K, Hamaguchi K (1985) A study on endoscopic clipping hemostasis against upper gastrointestinal bleeding. Prog Digest Endosc 27: 115–119
Hachisu T, Nakao T, Hamaguchi K, Andoh K, Hattori Y, Yoshida T (1986) Study of the endoscopic surgery in patients with chronic renal failure; the usefulness of the improved pushing type papillotome and the J-type clip. Prog Dig Endosc 29: 113–117
Hajiro K, Matui H, Tsujimura D (1986) Endoscopic hemostasis with hemoclip, local injection, and other new techniques: the Japanese experience. Endoscopy [Suppl 2] 18: 65–67
Hayashi T, Yonezawa M, Kuwabara T, Kudoh I (1975) The study on stanch clip for the treatment by endoscopy. Gastroenterol Endosc 17: 92–101
Kuramata H, Eto S, Horiguchi K, Unayama F, Kazato K, Tsuboi A (1974) Evaluation of gastrofiberscope for treatment (TGF proto-type by Olympus Co). Stomach Intestine 9: 355–364
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Hachisu, T. Evaluation of endoscopic hemostasis usingan improved clipping apparatus. Surg Endosc 2, 13–17 (1988). https://doi.org/10.1007/BF00591392
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DOI: https://doi.org/10.1007/BF00591392