title: Evolving techniques for gastrointestinal endoscopic hemostasis treatment.
abstract: With mortality due to gastrointestinal (GI) bleeding remaining stable, the focus on endoscopic hemostasis has been on improving other outcomes such as rebleeding rate, need for transfusions, and need for angiographic embolization or surgery. Over the past few years, a number of devices have emerged to help endoscopically assess and treat bleeding GI lesions. These include the Doppler endoscopic probe, hemostatic powder, and over-the-scope clip. Also, new applications have been described for radiofrequency ablation. In this article, we will discuss these evolving tools and techniques that have been developed, including an analysis of their efficacy and limitations.
authors.affiliation: a Division of Digestive Diseases , David Geffen School of Medicine at UCLA , Los Angeles , CA , USA.|b CURE Hemostasis Research Group.
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Ghassemi
authors.affiliation: a Division of Digestive Diseases , David Geffen School of Medicine at UCLA , Los Angeles , CA , USA.|b CURE Hemostasis Research Group.|c Division of Gastroenterology , VA Greater Los Angeles Healthcare Center , Los Angeles , CA , USA.
authors.forename: Dennis M
authors.initials: DM
authors.lastname: Jensen
mesh_terms: D017115:Catheter Ablation / Q000009:adverse effects / Q000295:instrumentation / Q000401:mortality; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D004867:Equipment Design; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D006490:Hemostatics / Q000008:administration & dosage* / Q000009:adverse effects; D006801:Humans; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D006490:Hemostatics
keywords: Doppler endoscopic probe; GI bleed; Hemospray; OTSC; hemostasis; radiofrequency ablation