Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 21, 2024; 30(15): 2087-2090
Published online Apr 21, 2024. doi: 10.3748/wjg.v30.i15.2087
Advancements in hemostatic strategies for managing upper gastrointestinal bleeding: A comprehensive review
Ah Young Lee, Joo Young Cho
Ah Young Lee, Joo Young Cho, Division of Gastroenterology, Department of Internal Medicine, Cha Gangnam Medical Center, Cha University College of Medicine, Seoul 06135, Korea
Author contributions: Lee YA contributed to conceptualization, writing–original draft, formal analysis, investigation, and editing; Cho JY contributed to conceptualization, supervision, writing–review, and editing; All authors approved the final version of the article.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Joo Young Cho, PhD, Academic Editor, Division of Gastroenterology, Department of Internal Medicine, Cha Gangnam Medical Center, Cha University College of Medicine, 566, Nonhyeon-ro, Gangnam-gu, Seoul 06135, South Korea. cjy6695@naver.com
Received: January 1, 2024
Peer-review started: January 1, 2024
First decision: February 5, 2024
Revised: February 20, 2024
Accepted: March 27, 2024
Article in press: March 27, 2024
Published online: April 21, 2024
Processing time: 108 Days and 15.1 Hours
Core Tip

Core Tip: Endoscopic hemostasis for nonvariceal upper gastrointestinal bleeding primarily involves electrocoagulation and heater probes, though monopolar electrocoagulation raises tissue injury concerns. Newer methods such as Hemospray and Endoclot offer mechanical tamponade but with limitations. First-line treatments currently include thermal probes and hemoclips, with over-the-scope clips gaining traction for larger ulcers. The gold probe, merging bipolar electrocoagulation and injection, targets coagulation effectively but has device-related issues. Future progress lies in integrating techniques and enhancing endoscopic imaging. Research is vital to establish standardized, effective hemorrhage management strategies.