Yamada Atsuo, Niikura Ryota, Yoshida Shuntaro, Hirata Yoshihiro, Koike Kazuhiko
Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Endoscopy and Endoscopic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Dig Endosc. 2015 Nov;27(7):720-5. doi: 10.1111/den.12534. Epub 2015 Sep 8.
Colonic diverticular bleeding is the most common cause of lower gastrointestinal bleeding. Colonoscopy can be used for both diagnosis and treatment of colonic diverticular bleeding. Identification of the stigmata of recent hemorrhage allows for various endoscopic hemostasis methods. Clipping, endoscopic band ligation, injection therapy, and thermal contact are available methods for endoscopic hemostasis. However, the optimal technique remains to be determined. Herein, we review the techniques and clinical outcomes of endoscopic hemostasis for colonic diverticular bleeding.
结肠憩室出血是下消化道出血最常见的原因。结肠镜检查可用于结肠憩室出血的诊断和治疗。识别近期出血的征象有助于采用各种内镜止血方法。钳夹、内镜套扎术、注射治疗和热接触是可用的内镜止血方法。然而，最佳技术仍有待确定。在此，我们综述结肠憩室出血内镜止血的技术和临床结果。
