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Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding
BACKGROUND/AIMS: In Asia, right-sided diverticular bleeding is more common than that of the left side. It often causes massive bleeding and difficulties in identifying the stigmata of recent hemorrhage (SRH) of colonic diverticular bleeding (CDB). This case series demonstrates the efficacy of the ge...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Gastrointestinal Endoscopy
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039735/ https://www.ncbi.nlm.nih.gov/pubmed/32777918 http://dx.doi.org/10.5946/ce.2020.081 |
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author | Yamamoto, Kazuki Shiratori, Yasutoshi Ikeya, Takashi |
author_facet | Yamamoto, Kazuki Shiratori, Yasutoshi Ikeya, Takashi |
author_sort | Yamamoto, Kazuki |
collection | PubMed |
description | BACKGROUND/AIMS: In Asia, right-sided diverticular bleeding is more common than that of the left side. It often causes massive bleeding and difficulties in identifying the stigmata of recent hemorrhage (SRH) of colonic diverticular bleeding (CDB). This case series demonstrates the efficacy of the gel immersion method using OS-1 Jelly (Otsuka Pharmaceuticals Factory, Tokushima, Japan) in patients with CDB. METHODS: This retrospective case series analyzed data of patients with CDB who underwent the gel immersion method from April 2016 to February 2020 at St. Luke’s International Hospital, Japan. All patients diagnosed with CDB who underwent the gel immersion method were included. We collected data on the site of bleeding, identification of SRH, and efficacy of the method from the electronic medical records. RESULTS: A total of 9 patients (including 7 with right-sided CDB) underwent gel immersion method and were included in this study. SRH were successfully found in 66.7% (6/9) of patients. Moreover, effective hemostasis was achieved in 85.7% (6/7) of patients with right-sided CDB. There were no adverse events. CONCLUSIONS: The gel immersion method was found to be effective, especially for massive right-sided CDB. |
format | Online Article Text |
id | pubmed-8039735 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-80397352021-04-19 Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding Yamamoto, Kazuki Shiratori, Yasutoshi Ikeya, Takashi Clin Endosc Original Article BACKGROUND/AIMS: In Asia, right-sided diverticular bleeding is more common than that of the left side. It often causes massive bleeding and difficulties in identifying the stigmata of recent hemorrhage (SRH) of colonic diverticular bleeding (CDB). This case series demonstrates the efficacy of the gel immersion method using OS-1 Jelly (Otsuka Pharmaceuticals Factory, Tokushima, Japan) in patients with CDB. METHODS: This retrospective case series analyzed data of patients with CDB who underwent the gel immersion method from April 2016 to February 2020 at St. Luke’s International Hospital, Japan. All patients diagnosed with CDB who underwent the gel immersion method were included. We collected data on the site of bleeding, identification of SRH, and efficacy of the method from the electronic medical records. RESULTS: A total of 9 patients (including 7 with right-sided CDB) underwent gel immersion method and were included in this study. SRH were successfully found in 66.7% (6/9) of patients. Moreover, effective hemostasis was achieved in 85.7% (6/7) of patients with right-sided CDB. There were no adverse events. CONCLUSIONS: The gel immersion method was found to be effective, especially for massive right-sided CDB. Korean Society of Gastrointestinal Endoscopy 2021-03 2020-08-11 /pmc/articles/PMC8039735/ /pubmed/32777918 http://dx.doi.org/10.5946/ce.2020.081 Text en Copyright © 2021 Korean Society of Gastrointestinal Endoscopy https://creativecommons.org/licenses/by-nc/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yamamoto, Kazuki Shiratori, Yasutoshi Ikeya, Takashi Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding |
title | Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding |
title_full | Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding |
title_fullStr | Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding |
title_full_unstemmed | Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding |
title_short | Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding |
title_sort | utility of the gel immersion method for treating massive colonic diverticular bleeding |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039735/ https://www.ncbi.nlm.nih.gov/pubmed/32777918 http://dx.doi.org/10.5946/ce.2020.081 |
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