[Endoscopic hemostasis for esophagogastric bleeding: technical assessment and recent advances].
The method and its technical issues of endoscopic hemostasis for the upper gastro-intestinal bleeding were reviewed. Precise diagnosis of bleeding point by endoscopic observation has become almost perfect with the technological progress of endoscopy. For large veins such as esophagogastric varices, endoscopic sclerotherapy has achieved great success. For small protruded vessels such as small arteries, mechanical method like clipping or band-ligation has advantage. Chemical or physical coagulation is also very useful for hemostasis of small vessels. Combination of two or three methods is sometimes effective in complicated patients. Endoscopic hemostasis is now golden standard for gastrointestinal hemorrhage.
Department of Gastroenterology, Toranomon Hospital.
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Murashima
D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D015911:Sclerotherapy / Q000379:methods*