scholarly journals Colonic diverticular bleeding. Have we identified the risk factors for massive bleeding yet?

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Juan Manuel Blancas Valencia
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Vol 85 (5) ◽  
pp. AB261
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Mayu Takimoto ◽  
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Yuusaku Sugihara ◽  
Shin-ei Kudo ◽  
Hideyuki Miyachi ◽  
Masashi Misawa ◽  
Shogo Okoshi ◽  
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Medicine ◽  
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Vol 96 (38) ◽  
pp. e8090 ◽  
Author(s):  
Masato Taki ◽  
Tadayuki Oshima ◽  
Katsuyuki Tozawa ◽  
Yukako Taniguchi ◽  
Toshihiko Tomita ◽  
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2013 ◽  
Vol 15 (8) ◽  
pp. 982-986 ◽  
Author(s):  
Y. Fujino ◽  
Y. Inoue ◽  
M. Onodera ◽  
S. Kikuchi ◽  
S. Endo ◽  
...  

JGH Open ◽  
2021 ◽  
Author(s):  
Yoshinori Sato ◽  
Hiroshi Yasuda ◽  
Yusuke Nakamoto ◽  
Hirofumi Kiyokawa ◽  
Masaki Yamashita ◽  
...  

2021 ◽  
Vol 5 (2) ◽  
pp. 148-157
Author(s):  
Yoshinori Sato ◽  
Hiroshi Yasuda ◽  
Yusuke Nakamoto ◽  
Hirofumi Kiyokawa ◽  
Masaki Yamashita ◽  
...  

2021 ◽  
Vol 10 (13) ◽  
pp. 2891
Author(s):  
Koichiro Kawano ◽  
Mamoru Takenaka ◽  
Reiko Kawano ◽  
Daisuke Kagoshige ◽  
Yuta Kawase ◽  
...  

Colonic diverticular could bleed recurrently, and, sometimes, fatal massive bleeding could occur. However, the choice of endoscopic hemostasis remains controversial. Although the over-the-scope clip (OTSC) method has been reported to be effective, it has not been fully evaluated due to the small number of cases. This study aimed to evaluate the efficacy of the OTSC method for colonic diverticular bleeding. Between August 2017 and December 2020, 36 consecutive patients, including those who could not be treated using endoscopic band ligation (EBL) and those in whom re-bleeding had occurred after EBL, underwent the OTSC method for hemostasis of colonic diverticular bleeding at Hyogo Prefectural Awaji Medical Center. The procedure success rate, adverse events rate, early phase re-bleeding rate (within 30 days following primary hemostasis), and the requirement rate for additional transcatheter arterial embolization (TAE) or surgery were the outcomes assessed. The outcomes were procedure success rate 100%, adverse events rate 0%, early phase re-bleeding rate 8.3%, and additional TAE or surgery rate 0%. These results suggest that the OTSC method is a safe and effective treatment for managing colonic diverticular bleeding.


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