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  • Endoscopic Methods of Hemostasis

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    Randev Wannakuwatte
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    This document discusses endoscopic methods of hemostasis. It begins by outlining various pathologies in the esophagus, stomach, small intestine, and large intestine that can cause hemorrhaging and require endoscopic hemostasis. It then describes various upper and lower GI sources of bleeding. The main methods of endoscopic hemostasis discussed are mechanical techniques using devices like hemoclips, balloons, and ligations; injections of substances like ethanol, epinephrine, and polymers; thermo-coagulation methods using argon plasma, lasers, and electrocautery; and hemostatic sprays containing thrombin, alginate, or fibrin glue. Specific techniques are illustrated with examples

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    This document discusses endoscopic methods of hemostasis. It begins by outlining various pathologies in the esophagus, stomach, small intestine, and large intestine that can cause hemorrhaging and require endoscopic hemostasis. It then describes various upper and lower GI sources of bleeding. The main methods of endoscopic hemostasis discussed are mechanical techniques using devices like hemoclips, balloons, and ligations; injections of substances like ethanol, epinephrine, and polymers; thermo-coagulation methods using argon plasma, lasers, and electrocautery; and hemostatic sprays containing thrombin, alginate, or fibrin glue. Specific techniques are illustrated with examples

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    12 views11 pages

    Endoscopic Methods of Hemostasis

    Uploaded by

    Randev Wannakuwatte
    This document discusses endoscopic methods of hemostasis. It begins by outlining various pathologies in the esophagus, stomach, small intestine, and large intestine that can cause hemorrhaging and require endoscopic hemostasis. It then describes various upper and lower GI sources of bleeding. The main methods of endoscopic hemostasis discussed are mechanical techniques using devices like hemoclips, balloons, and ligations; injections of substances like ethanol, epinephrine, and polymers; thermo-coagulation methods using argon plasma, lasers, and electrocautery; and hemostatic sprays containing thrombin, alginate, or fibrin glue. Specific techniques are illustrated with examples

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 11

    Endoscopic Methods of

    Hemostasis
    Randev Wannakuwatte
    The need for endoscopic hemostasis
    • Esophageal pathology Small Intestine Pathology
    • Esophageal varices • Duodenal ulcers
    • Esophagitis • Duodenal varices
    • Mallory-Weiss syndrome • Duodenal diverticulum
    • Esophageal cancer • Invasive malignant cancer
    • Aortointestinal Fistula • Inflammatory Bowel Disease
    • Gastric Pathology • Large Intestine Pathology
    • Ulcers • Infectious colitis
    • Gastric varices • Ischemic colitis
    • Gastric cancer • Colorectal Cancer
    • Gastric antral Vascular Ectasia • Angiodysplasia
    Upper GI hemorrhage

    Esophageal Varices Mallory-Weiss Syndrome Aortointestinal Fistula Gastric ulcer


    Lower GI hemorrhage

    Colon Cancer Ischemic Colitis Ulcerative Colitis Colonic Angiodysplasia


    Methods of endoscopic hemostasis
    • Mechanical Thermo-coagulation
    • Hemoclips • Argon plasma coagulation
    • Balloon Tamponade • Heater prove
    • Ligation(Endoscopic variceal ligation, • Hemostatic forceps
    detachable snare) • Microwaves
    • Injections • Laser(Nd-YAG, diode)
    • Ethanol • Hemostatic Sprays
    • Epinephrine • Thrombin
    • Monoethanolamine oleate
    • Sodium alginate
    • Polidocanol
    • Fibrin Glue
    • N-butyl-2-cyanoacrylate
    Endoscopic mechanical hemostasis

    Hemoclips Esophagogastric balloon Detachable snare for Endoscopic variceal


    tamponade colonic diverticular ligation
    bleeding
    Endoscopic injection hemostasis

    Injections are applied circumferentially Vasoconstrictors such as epinephrine are used


    Endoscopic thermo-coagulative hemostasis

    Argon plasma Circumferential laser Endoscopic electrocoagulation


    coagulation coagulation
    Endoscopic hemostatic-spray hemostasis

    Thrombin Sodium alginate Fibrin glue


    Thank You!

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