کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6097526 1210290 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
New methodsClinical endoscopyUse of the over-the-scope clip to treat massive bleeding at the transitional zone of the anal canal: a case series
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
پیش نمایش صفحه اول مقاله
New methodsClinical endoscopyUse of the over-the-scope clip to treat massive bleeding at the transitional zone of the anal canal: a case series
چکیده انگلیسی

Background and AimsEndoscopic treatment of anorectal bleeding can be challenging. We report use of the endoscopic over-the-scope clip (OTSC) to treat massive bleeding from the transitional zone of the anorectum. The aim of this retrospective study was to assess the clinical outcome and efficacy of the OTSC and to describe the technique of its use in acute severe bleeding occurring at the transitional zone of the anorectum.MethodsWe treated 5 consecutive patients (age range, 36-79 years, 5 men) with severe bleeding from the transitional zone of the anorectum caused by hemorrhoid therapy, digital trauma, and a Dieulafoy lesion. We analyzed the efficacy, safety, and outcome of endoscopic treatment using the OTSC.ResultsPrimary hemostasis was successfully achieved in all the patients using a single OTSC. The OTSC deployment technique was adapted from the endoscopic band ligation of hemorrhoids. There was no immediate or late rebleeding. We observed that there were no adverse events from OTSC placement in the anorectum.ConclusionsThis case series provides evidence that OTSCs may be effective in controlling bleeding from the transitional zone of the anorectum. Although use of OTSCs for bleeding elsewhere in the GI tract has been described, this case series is the first to show its application in the transitional zone of the anorectum.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gastrointestinal Endoscopy - Volume 84, Issue 1, July 2016, Pages 168-172
نویسندگان
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