Endoscopic Hemostasis for Hemorrhagic Lesion of the Large Intestine.

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  • Kobayashi K.
    Dept. of Gastroenterology, Kitasato University East Hospital
  • Katsumata K.
    Dept. of Gastroenterology, Kitasato University East Hospital
  • Igarashi M.
    Dept. of Gastroenterology, Kitasato University East Hospital
  • Yokoyama K.
    Dept. of Gastroenterology, Kitasato University East Hospital
  • Sada M.
    Dept. of Gastroenterology, Kitasato University East Hospital
  • Saigenji K.
    Dept. of Gastroenterology, Kitasato University East Hospital

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Other Title
  • 大腸の治療内視鏡　　大腸の出血性病変に対する内視鏡的止血法

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The effectiveness of endoscopic hemostasis for hemorrhagic lesion of the large intestine is explained herein. The methods of endoscopic hemostasis are divided into four groups, mechanical hemostasis, heater coagulation, endoscopic injection or spraying of hemostatic drugs. Among these methods, endoscopic clipping for hemorrhagic lesion of the large intestine is mainly used because it is both effective and safe.<BR>The most suitable indication of endoscopic clipping is local colorectal hemorrhage post-polypectomy, because of its harmless effect on the intestinal wall. Endoscopic clipping is also useful for hemostasis of diverticular hemorrhage.<BR>It is most important to choose appropriate method of endoscopic heomostasis for the basic disease of hemorrhage and the characteristics of bleeding evaluated by endoscopic findings.

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