Transparent cap scope tamponade: an inexpensive, efficient, and underappreciated maneuver for bleeding visualization and hemostasis

Q3 Medicine

VideoGIE Pub Date : 2025-02-21 DOI:10.1016/j.vgie.2025.02.001

Brandon Rodgers MD , Swapnil Patel DO , Matthew T. Moyer MD, MS, FASGE

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引用次数: 0

Abstract

Background and Aims

Low-grade bleeding is commonly encountered during endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD), and there are several hemostasis techniques that can be used, each with advantages and disadvantages. One efficient, inexpensive, and underappreciated technique is the use of a distal attachment on the endoscope to provide immediate scope tamponade that quickly stops most low-grade bleeding.

Methods

The use of the distal attachment during endoscopic resection improves scope stability, and when low- to moderate-grade bleeding occurs, it can be used in conjunction with water infusion to quickly allow visualization of the source of the bleed. Subsequently, the tip of the distal attachment can be easily applied to the source of the bleeding, allowing immediate control or allowing time to retrieve a more definitive hemostatic device.

Results

Four cases are presented demonstrating the valuable uses of the transparent distal cap attachment during EMR of a variety of colonic lesions.

Conclusions

Using the distal attachment cap to provide scope tamponade is an effective, inexpensive, and underappreciated strategy to achieve hemostasis in low- to moderate-grade intraprocedural bleeding.

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透明帽镜填塞：一种廉价、有效、被低估的出血可视化和止血方法

背景和aimslow级出血是内镜下粘膜切除术（EMR）和内镜下粘膜剥离术（ESD）中常见的出血，有几种止血技术可以使用，每种止血技术各有优缺点。一种有效、廉价但未被重视的技术是在内窥镜的远端附着物上提供即时的内窥镜填塞，快速阻止大多数低度出血。方法在内镜下切除时使用远端附着体可提高内镜稳定性，当发生低度至中度出血时，可与输液配合使用，以快速显示出血来源。随后，远端附着体的尖端可以很容易地应用于出血源，允许立即控制或允许时间取回更明确的止血装置。结果四个病例展示了透明远端帽附着在各种结肠病变的EMR中有价值的应用。结论使用远端附着帽提供范围填塞是一种有效、廉价但未被重视的策略，可用于实现低至中度术中出血的止血。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

VideoGIE Medicine-Gastroenterology

CiteScore

1.50

自引率

0.00%

发文量

132

审稿时长

105 days

期刊介绍： VideoGIE, an official video journal of the American Society for Gastrointestinal Endoscopy, is an Open Access, online-only journal to serve patients with digestive diseases. VideoGIE publishes original, single-blinded peer-reviewed video case reports and case series of endoscopic procedures used in the study, diagnosis, and treatment of digestive diseases. Videos demonstrate use of endoscopic systems, devices, and techniques; report outcomes of endoscopic interventions; and educate physicians and patients about gastrointestinal endoscopy. VideoGIE serves the educational needs of endoscopists in training as well as advanced endoscopists, endoscopy staff and industry, and patients. VideoGIE brings video commentaries from experts, legends, committees, and leadership of the society. Careful adherence to submission guidelines will avoid unnecessary delays, as incomplete submissions may be returned to the authors before initiation of the peer review process.