The use of endoscopic hemoclips for postoperative anastomotic bleeding.
With the availability of endoscopy and its inherent use as a diagnostic and therapeutic modality, many surgeons and gastroenterologists are able to use this tool to remedy a wide range of gastrointestinal pathologies. The literature is replete with anecdotal endoscopic therapeutic strategies ranging from epinephrine injection, to use of cautery or argon plasma coagulation. This case report highlights the use of endoscopic hemoclips which were successfully applied in the acute postoperative period for a bleeding vessel at a fresh anastomotic site. The article allows for a brief discussion of plausible endoscopic treatment strategies available to the surgeon faced with a similar situation.
Department of Surgery, University of Ottawa, Ottawa, Ontario, Canada. dantrottier@rogers.com
Daniel C
DC
Trottier
Martin
M
Friedlich
Alaa
A
Rostom
D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006487:Hemostasis; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D013525:Surgical Instruments