Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding.
Diverticular diseases
Diverticulum
Gastrointestinal hemorrhage
Journal
Clinical endoscopy
ISSN: 2234-2400
Titre abrégé: Clin Endosc
Pays: Korea (South)
ID NLM: 101576886
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
30
03
2020
accepted:
09
06
2020
pubmed:
12
8
2020
medline:
12
8
2020
entrez:
12
8
2020
Statut:
ppublish
Résumé
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. 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. 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. The gel immersion method was found to be effective, especially for massive right-sided CDB.
Sections du résumé
BACKGROUND/AIMS
OBJECTIVE
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
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
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.
CONCLUSION
CONCLUSIONS
The gel immersion method was found to be effective, especially for massive right-sided CDB.
Identifiants
pubmed: 32777918
pii: ce.2020.081
doi: 10.5946/ce.2020.081
pmc: PMC8039735
doi:
Types de publication
Journal Article
Langues
eng
Pagination
256-260Références
Gut. 2008 Jan;57(1):65-70
pubmed: 17682000
Am J Gastroenterol. 1997 Mar;92(3):419-24
pubmed: 9068461
Dig Endosc. 2010 Jul;22(3):232-5
pubmed: 20642616
Am J Gastroenterol. 2016 Apr;111(4):459-74
pubmed: 26925883
J Gastroenterol Hepatol. 2020 May;35(5):815-820
pubmed: 31677183
Curr Gastroenterol Rep. 2013 Jul;15(7):333
pubmed: 23737154
Intern Med. 2015;54(6):553-8
pubmed: 25786443
Gastrointest Endosc. 2016 Feb;83(2):416-23
pubmed: 26227931
Dis Colon Rectum. 1992 Aug;35(8):799-802
pubmed: 1644006
N Engl J Med. 2017 Mar 16;376(11):1054-1063
pubmed: 28296600
Dis Colon Rectum. 1984 Aug;27(8):531-7
pubmed: 6468190
Colorectal Dis. 2013 May;15(5):e266-70
pubmed: 23350931
Can J Gastroenterol. 2007 Feb;21(2):97-9
pubmed: 17299613
N Engl J Med. 2000 Jan 13;342(2):78-82
pubmed: 10631275
Clin Gastroenterol. 1975 Jan;4(1):3-21
pubmed: 1109818
Clin Colon Rectal Surg. 2018 Jul;31(4):243-250
pubmed: 29942215
Dig Dis Sci. 2013 Jul;58(7):1985-90
pubmed: 23504354
Gastrointest Endosc. 2016 Apr;83(4):809-11
pubmed: 26463338
Ann Surg. 1994 Nov;220(5):653-6
pubmed: 7979613
Gut. 1992 Apr;33(4):547-9
pubmed: 1582600
Int J Colorectal Dis. 2014 Mar;29(3):379-85
pubmed: 24317937
J Clin Gastroenterol. 2015 Mar;49(3):e24-30
pubmed: 24859714
Inflamm Intest Dis. 2018 Dec;3(2):61-68
pubmed: 30733949
Int J Surg. 2016 Sep;33 Pt A:136-9
pubmed: 27500962