Endoscopic clipping focused on "triclip" for bleeding Dieulafoy's lesion in the colon.
Endoclips were among the earliest accessories developed for gastrointestinal endotherapy. Now they are currently used for the control of gastrointestinal bleeding and for the closure of perforations, fistulas, and anastomotic leaks. Numerous technical improvements of the original device have led to the development of new devices: rotatable clip, preloaded hemoclip, TriClip and repositioning clip device. The endoclip devices are easy to use. The technique comprises three steps: exposing the clip from the sheath, opening the clip to the maximum, and deploying the clip. Dieulafoy's lesion is an abnormal, submucosal "caliber-persistent artery" that protrudes through a minute mucosal defect. Although it accounts account for up to 5% of acute upper gastrointestinal bleeding, only a few cases involving colo-rectum have been reported. We report a case of Dieulafoy's lesion of the colon which has given us the opportunity to briefly review the indications and technique of endoclipping.
Gheorghe
Cristian
C
Center of Gastroenterology and Hepatology, Fundeni Clinical Institute, Str. Fundeni no. 258, 72437 Bucharest, Romania. drgheorghe@xnet.ro
D000368:Aged; D001165:Arteriovenous Malformations / Q000150:complications* / Q000601:surgery*; D003106:Colon / Q000098:blood supply; D003108:Colonic Diseases / Q000150:complications / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D016558:Hemostasis, Endoscopic; D006801:Humans; D013525:Surgical Instruments; D016896:Treatment Outcome