Korean J Med.  2010 Aug;79(2):148-154.

The usefulness of endoscopic hemostasis with hemoclipping in acute colonic diverticular bleeding

• Mo EY
• Jung ME
• Kim JJ
• Kim SJ
• Do KR
• Kim HK
• Kim SS
• Chae HS
• Cho YS

Abstract

BACKGROUND/AIMS
Although colonoscopy is often used to diagnose and treat acute lower gastrointestinal bleeding, there have been few reports on outcomes of the management of colonic diverticular bleeding in Korea. This study evaluated the utility of colonoscopic hemoclipping for the control of diverticular bleeding.
METHODS
We retrospectively reviewed the medical records of 13 patients with acute diverticular bleeding treated using endoclips at Uijeongbu St. Mary's Hospital between January 2004 and December 2009.
RESULTS
Of the 13 patients, four had an actively bleeding vessel visible at colonoscopy, while nine had a non-bleeding vessel. Hemostasis with hemoclipping was successful in all patients without procedural complications. One patient (7.7%) had early recurrent bleeding and additional colonoscopic hemoclipping was successful. During a median follow-up of 34 months, late recurrent bleeding occurred in one patient (7.7%).
CONCLUSIONS
Colonoscopic treatment of acute diverticular bleeding using endoclips is safe and effective, with high rates of immediate and long-term success.

Keyword

Colonoscopy; Diverticulum; Hemorrhage

MeSH Terms

Colon
Colonoscopy
Diverticulum
Follow-Up Studies
Glycosaminoglycans
Hemorrhage
Hemostasis
Hemostasis, Endoscopic
Humans
Korea
Medical Records
Retrospective Studies
Glycosaminoglycans