Year 2023 / Volume 115 / Number 1
Letter
Hemostasis of a bleeding inverted colonic diverticulum

51-52

DOI: 10.17235/reed.2022.9019/2022

Maria Manuela Estevinho, Rolando Pinho, Ana Catarina Gomes, João Correia, Teresa Freitas,

Abstract
The authors report a case of a 62-year-old male presenting to the emergency department with hematochezia. Urgent colonoscopy revealed numerous diverticula in the sigmoid colon, two of them inverted. Oozing bleeding from a visible vessel was identified on the top of the most distal inverted diverticulum. An over-the-scope clip was released after suction into the transparent cap and successful hemostasis was achieved.
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References
1. Alcalá-González L, Jiménez C, Cortina V, Jiménez A, Cerdá M, Johansson E, Olivera P, Santamaría A, Alonso-Cotoner C. Severity of gastrointestinal bleeding is similar between patients receiving direct oral anticoagulants or vitamin K antagonists. Rev Esp Enferm Dig. 2022 Jan 28; in press.
2. Kaise M, Nagata N, Ishii N, Omori J, Goto O, Iwakiri K. Epidemiology of colonic diverticula and recent advances in the management of colonic diverticular bleeding. Dig Endosc 2020;32:240-250.
3. Kawano K, Takenaka M, Kawano R, Kagoshige D, Kawase Y, Moriguchi T, Tanabe H, Katoh T, Nishi K, Kudo M. Efficacy of Over-The-Scope Clip Method as a Novel Hemostatic Therapy for Colonic Diverticular Bleeding. J Clin Med. 2021 Jun 29;10(13):2891.
4. Wedi E, von Renteln D, Jung C, Tchoumak I, Roth V, Gonzales S, Leroy J, Hochberger J: Treatment of acute colonic diverticular bleeding in high risk patients, using an over-the-scope clip: a case series. Endoscopy 2016;48:E383-e385.
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Estevinho M, Pinho R, Gomes A, Correia J, Freitas T. Hemostasis of a bleeding inverted colonic diverticulum. 9019/2022


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Publication history

Received: 19/06/2022

Accepted: 21/06/2022

Online First: 24/06/2022

Published: 12/01/2023

Article Online First time: 5 days

Article editing time: 207 days


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