caa a22 4500 445795751 CHVBK 20180317145124.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s10620-011-1683-1 doi (NATIONALLICENCE)springer-10.1007/s10620-011-1683-1 Effectiveness of Endoclips for the Treatment of Stigmata of Recent Hemorrhage in the Colon of Patients with Acute Lower Gastrointestinal Tract Bleeding [Elektronische Daten] [Atul Kumar, Everson Artifon, Adrienne Chu, Bhawna Halwan] Aims and Methods: Coaptive thermo coagulation (CTC) for the treatment of stigmata of recent hemorrhage (SRH) in the colon is risky. We evaluated the safety and effectiveness of endoclips in 13 patients with acute lower gastrointestinal bleeding (GIB). Thirty-day re-bleeding and complication rates were comparable to a historical cohort of 41 patients (group 2) who underwent CTC/IE (injection epinephrine) for the management of acute lower GIB. Results: There was no difference in the 30-day re-bleeding rates in the two groups. In group I, immediate hemostasis was successful in all patients. Three of 13 patients (23.1%) developed re-bleeding. In group II, 41 patients from six prior studies underwent CTC and/or IE for the treatment of HRS where 12 (29.3%) developed re-bleeding. There were no immediate complications. Conclusions: Endoclip deployment is as effective as CTC and/or IE for treatment of SRH in the colon. Springer Science+Business Media, LLC (Outside the USA), 2011 Endoclips nationallicence Contact thermocoagulation nationallicence Gastrointestinal bleeding nationallicence Injection epinephrine nationallicence Stigmata of recent hemorrhage nationallicence Kumar Atul Northport VA Medical Center, Stony Brook University, 79 Middleville Road, 11768, Northport, NY, USA aut Artifon Everson University of São Paulo Medical School, São Paulo, SP, Brazil aut Chu Adrienne Northport VA Medical Center, Stony Brook University, School of Math & Science, 11794, Stony Brook, NY, USA aut Halwan Bhawna Winthrop University Medical Center, Mineola, NY, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/10(2011-10-01), 2978-2986 0163-2116 56:10<2978 2011 56 10620 https://doi.org/10.1007/s10620-011-1683-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-011-1683-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kumar Atul Northport VA Medical Center, Stony Brook University, 79 Middleville Road, 11768, Northport, NY, USA aut NATIONALLICENCE 700 1- Artifon Everson University of São Paulo Medical School, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Chu Adrienne Northport VA Medical Center, Stony Brook University, School of Math & Science, 11794, Stony Brook, NY, USA aut NATIONALLICENCE 700 1- Halwan Bhawna Winthrop University Medical Center, Mineola, NY, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/10(2011-10-01), 2978-2986 0163-2116 56:10<2978 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer