title: Accurate hemostasis with a new endoscopic overtube for emergency endoscopy.
abstract: Endoscopic hemostasis performed in the emergency room is difficult due to the presence of blood clots and food residue that makes obtaining a clear view of the bleeding vessel difficult. We experienced the efficacy of a newly developed inverted overtube to shorten the hemostatic time and obtain a clear endoscopic view with upper gastrointestinal bleeding patient who were transferred by ambulance car and required emergency endoscopy. The technique improved the endoscopic views and enabled us to perform the hemostatic procedures from the conventional standing position while freely and easily changing the patient's position. The presence of blood clots and food residue in the gastric fornix or upper gastric body makes identifying a bleeding exposed vessel impossible. This set-up significantly shortened the procedure time. The inverted overtube helped us obtain a clear view in patients who were laid in the right lateral position. Rapid identification of exposed vessels resulted in success of hemostasis.
authors.affiliation: Departments of Gastroenterology and Neurology, Kagawa Medical University School of Medicine, Kagawa 761-0793, Japan. hiro4884@med.kagawa-u.ac.jp
authors.forename: Hirohito
authors.initials: H
authors.lastname: Mori
authors.forename: Hideki
authors.initials: H
authors.lastname: Kobara
authors.forename: Shintaro
authors.initials: S
authors.lastname: Fujihara
authors.forename: Noriko
authors.initials: N
authors.lastname: Nishiyama
authors.forename: Makoto
authors.initials: M
authors.lastname: Oryu
authors.forename: Kazi
authors.initials: K
authors.lastname: Rafiq
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Masaki
mesh_terms: D004630:Emergencies; D019723:Endoscopes; D016099:Endoscopy, Gastrointestinal / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000295:instrumentation*; D006801:Humans; D008875:Middle Aged; D056888:Patient Positioning; D016896:Treatment Outcome
keywords: Clear endoscopic view; Emergency endoscopic hemostasis; Identification of exposed vessel; Newly developed inverted overtube; Right lateral decubitus position