title: Effectiveness of endoclips for the treatment of stigmata of recent hemorrhage in the colon of patients with acute lower gastrointestinal tract bleeding.
abstract: OBJECTIVE
  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.
authors.affiliation: Northport VA Medical Center, Stony Brook University, Northport, NY 11768, USA. akumar1165@yahoo.com
authors.forename: Atul
authors.initials: A
authors.lastname: Kumar
authors.forename: Everson
authors.initials: E
authors.lastname: Artifon
authors.forename: Adrienne
authors.initials: A
authors.lastname: Chu
authors.forename: Bhawna
authors.initials: B
authors.lastname: Halwan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003106:Colon; D003113:Colonoscopy; D004564:Electrocoagulation / Q000379:methods; D004837:Epinephrine / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013525:Surgical Instruments; D016896:Treatment Outcome; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000627:therapeutic use
chemical_list: D014662:Vasoconstrictor Agents; D004837:Epinephrine