ArticleDEN open2027
Successful Hemostasis With Direct Clipping Using a Tapered-Tip Hood and Slim Endoscope for Colonic Diverticular Bleeding Refractory to Endoscopic Band Ligation: A Case Report.
Article in DEN open, 2027. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Endoscopic band ligation (EBL) is performed for hemostasis in patients with colonic diverticular bleeding (CDB) due to its low rebleeding rate. However, suction and ligation are not successful in some cases. We describe the case of a 93-year-old woman with CDB in whom EBL failed. Because of tissue rigidity, the sigmoid diverticulum could not be adequately suctioned into the ligation device, which resulted in band detachment and subsequent rebleeding. A slim endoscope fitted with a calibrated, small-caliber-tip, transparent hood enabled visualization of the bleeding point within the diverticulum. Complete hemostasis was then achieved by direct clipping using a reopenable clip. This case suggests that direct clipping using a tapered-tip hood with a slim endoscope can be a useful rescue technique after unsuccessful EBL.
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