Clinical Endoscopy

Commentary

Commentary on “Comparative Study of Narrow-Band Imaging and i-scan for Predicting the Histology of Intermediate-to-Large Colorectal Polyps: A Prospective, Randomized Pilot Study”: Yunho Jung, Masayuki Kato; Clin Endosc 2021;54(6):781-782. Published online November 12, 2021; DOI: https://doi.org/10.5946/ce.2021.206

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Classification and endoscopic diagnosis of colorectal polyps
Ji Hyun Kim, Sung Chul Park
Journal of the Korean Medical Association.2023; 66(11): 633. CrossRef

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Focused Review Series: Endoscopic Hemostasis: An Overview of Principles and Recent Applications

Endoscopic Therapy for Acute Diverticular Bleeding: Masayuki Kato; Clin Endosc 2019;52(5):419-425. Published online August 20, 2019; DOI: https://doi.org/10.5946/ce.2019.078

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Diverticular bleeding accounts for approximately 26%–40% of the cases of lower gastrointestinal bleeding. Rupture of the vasa recta at the neck or dome of the diverticula can be the cause of this bleeding. Colonoscopy aids in not only the diagnosis but also the treatment of diverticular bleeding after a steady bowel preparation. Endoscopic hemostasis involves several methods, such as injection/thermal contact therapy, clipping, endoscopic band ligation (EBL), hemostatic powder, and over-the-scope clips. Each endoscopic method can provide a secure initial hemostasis. With regard to the clinical outcomes after an endoscopic treatment, the methods reportedly have no significant differences in the initial hemostasis and early recurring bleeding; however, EBL might prevent the need for transcatheter arterial embolization or surgery. In contrast, the long-term outcomes of the endoscopic treatments, such as a late bleeding and recurrent bleeding at 1 and 2 years, are not well known for diverticular bleeding. With regard to a cure for diverticular bleeding, there should be an improvement in both the endoscopic methods and the multilateral perspectives, such as diet, medicines, interventional approaches, and surgery.

Citations

Citations to this article as recorded by

Endoscopic therapies for colonic diverticular bleeding: a systematic review and meta-analysis
Gilmara Coelho Meine, Paula Santo, Lucas Monteiro Delgado, Gregory Thomas Brennan
Surgical Endoscopy.2026; 40(2): 902. CrossRef
Endoscopic treatment modalities for colonic diverticular bleeding: A systematic review with direct and network meta-analyses
Zahid Ijaz Tarar, Mustafa Gandhi, Faisal Inayat, Umer Farooq, Baltej Singh, Ahtshamullah Chaudhry, Aun Muhammad, Ahmad Zain, Faisal Kamal
World Journal of Gastrointestinal Endoscopy.2025;[Epub] CrossRef
A Review of Colonoscopy in Intestinal Diseases
Seung Hong, Dong Baek
Diagnostics.2023; 13(7): 1262. CrossRef
Short Peptide Nanofiber Biomaterials Ameliorate Local Hemostatic Capacity of Surgical Materials and Intraoperative Hemostatic Applications in Clinics
Zehong Yang, Lihong Chen, Ji Liu, Hua Zhuang, Wei Lin, Changlong Li, Xiaojun Zhao
Advanced Materials.2023;[Epub] CrossRef
A new band ligation device to treat colonic diverticular bleeding
Yunho Jung
Clinical Endoscopy.2022; 55(3): 367. CrossRef
Diagnosis and Treatment of Colonic Diverticular Disease
You Sun Kim
The Korean Journal of Gastroenterology.2022; 79(6): 233. CrossRef
Efficacy of Combination Therapy with Epinephrine Local Injection and Hemostatic Clips on Active Diverticular Bleeding
Seiji Hamada, Akira Teramoto, Ryuta Zukeyama, Shinobu Matsukawa, Tomofumi Fukuhara, Ryo Takaki, Takahiro Utsumi, Masamoto Nakamura, Kasen Kobashikawa, Nobufumi Uchima, Tomokuni Nakayoshi, Fukunori Kinjo
Journal of Clinical Medicine.2022; 11(17): 5195. CrossRef
Diverticular Bleeding: A Clinical Image
Christopher F Brewer, Yayha Al Abed
Cureus.2021;[Epub] CrossRef

20,400 View
651 Download
10 Web of Science
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