Original article: Yachimski PS and Friedman LS (2008) Gastrointestinal bleeding in the elderly. Nat Clin Pract Gastroenterol Hepatol 5: 80–93 doi:10.1038/ncpgasthep1034
We agree with Dr Hokama and his colleagues that hemostatic clip placement is an acceptable technique for hemostasis of active diverticular hemorrhage,1 although the published literature supporting this approach consists largely of case reports.1,2,3 Nevertheless, for endoscopists familiar with hemostatic clip use for the treatment of upper gastrointestinal bleeding, the technique of clip delivery is easily transferable to colonoscopic applications, including diverticular hemorrhage. We would emphasize that in the therapeutic approach to diverticular hemorrhage, the practicing endoscopist may be best served by personal familiarity and facility with at least one or two of the available therapeutic options.
References
Hokama A et al. (2008) Hemoclip application for colonic diverticular hemorrhage. Nat Clin Pract Gastroenterol Hepatol 5: E2
Rino Y et al. (1999) Hemostasis of colonic diverticular bleeding with hemoclips under endoscopic control: report or a case. Hepatogastroenterology 46: 1733–1735
Simpson PW et al. (2004) Use of endoclips in the treatment of massive colonic diverticular bleeding. Gastrointest Endosc 59: 433–437
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Yachimski, P., Friedman, L. Authors' response to “Hemoclip application for colonic diverticular hemorrhage”. Nat Rev Gastroenterol Hepatol 5, E3 (2008). https://doi.org/10.1038/ncpgasthep1147
Issue Date:
DOI: https://doi.org/10.1038/ncpgasthep1147