Digestion

Research Article

Endoscopic Detachable Snare Ligation Improves the Treatment for Colonic Diverticular Hemorrhage

Kobayashi K.a · Furumoto Y.a · Akutsu D.b · Matsuoka M.a · Nozaka T.a · Asano T.a · Fujiki K.a · Gosho M.c · Narasaka T.d · Mizokami Y.d

Author affiliations

aDepartment of Gastroenterology, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan
bDepartment of Gastroenterology, University of Tsukuba, Tsukuba, Japan
cDepartment of Biostatistics, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
dDivision of Endoscopic Center, University of Tsukuba Hospital, Tsukuba, Japan

Keywords: Colonic diverticular hemorrhageLower gastrointestinal bleedingEndoscopic hemostasisEndoscopic detachable snare ligationEndoscopic clipping

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Digestion 2020;101:208–216
https://doi.org/10.1159/000498847

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Article / Publication Details

First-Page Preview
Abstract of Research Article

Received: October 11, 2018
Accepted: February 11, 2019
Published online: March 06, 2019
Issue release date: March 2020

Number of Print Pages: 9
Number of Figures: 4
Number of Tables: 3

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: https://www.karger.com/DIG

Abstract

Background/Aims: Recently, endoscopic detachable snare ligation (EDSL) has become increasingly common as treatment for colonic diverticular hemorrhage. This study aimed to evaluate the efficacy and safety of EDSL in comparison with endoscopic clipping (EC) as treatment for colonic diverticular hemorrhage. Methods: From April 2013 to September 2017, 131 patients were treated with EDSL or EC at the Tokyo Metropolitan Bokutoh Hospital. We retrospectively evaluated patient characteristics and clinical outcomes, including early rebleeding rates (rebleeding within 30 days after initial hemostasis) and complications for each procedure. Results: Of 131 patients, 44 and 87 were treated with EDSL and EC respectively. We initially achieved endoscopic hemostasis in all patients. The early rebleeding rate was significantly lower for EDSL (6.8%, 3 patients) than for EC (23.0%, 20 patients). There were no differences in the total procedure time (43 vs. 45 min, p = 0.84) or time to hemostasis after identification of bleeding site (12 vs. 10 min, p = 0.23). There were no severe complications following EDSL. Conclusion: The results of this study suggest that EDSL is superior to EC as treatment for colonic diverticular hemorrhage. EDSL may provide improvements in the clinical course of patients with colonic diverticular hemorrhage.

© 2019 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of Research Article

Received: October 11, 2018
Accepted: February 11, 2019
Published online: March 06, 2019
Issue release date: March 2020

Number of Print Pages: 9
Number of Figures: 4
Number of Tables: 3

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: https://www.karger.com/DIG

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