title: Achieving hemostasis and the risks associated with therapy.
abstract: Acute gastrointestinal bleeding is a common cause for hospitalization. Endoscopic hemostasis plays a central role in the management of lesions with active bleeding or high-risk stigmata for rebleeding. The efficacy and safety of endoscopic hemostasis rely on the identification of lesions suitable for endoscopic therapy, selection of the appropriate hemostatic devices, attention to technique, and prompt recognition and management of procedure-related adverse events. In this article, practical applications of hemostatic devices and pitfalls related to endoscopic hemostasis are discussed.
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
authors.forename: Nayantara Coelho
authors.initials: NC
authors.lastname: Prabhu
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA. Electronic address: wong.louis@mayo.edu.
authors.forename: Louis M Wong Kee
authors.initials: LM
authors.lastname: Song
mesh_terms: D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D016558:Hemostasis, Endoscopic / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D012306:Risk
keywords: Clips; Endoscopic band ligation; Gastrointestinal bleeding; Hemostasis; Hemostatic spray; Peptic ulcer bleeding; Perforation; Thermal coagulation