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World J Gastrointest Endosc. Oct 15, 2009; 1(1): 7-11
Published online Oct 15, 2009. doi: 10.4253/wjge.v1.i1.7
Endoscopic clipping in the lower gastrointestinal tract
Akira Hokama, Kazuto Kishimoto, Fukunori Kinjo, Jiro Fujita
Akira Hokama, Jiro Fujita, Department of Medicine and Therapeutics (First Department of Internal Medicine), Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0125, Japan
Kazuto Kishimoto, Fukunori Kinjo, Department of Endoscopy, Ryukyus University Hospital, Okinawa 903-0125, Japan
Author contributions: Hokama A wrote the paper; Kishimoto K, Kinjo F and Fujita J reviewed the paper.
Correspondence to: Akira Hokama, MD, PhD, Assistant Professor, Department of Medicine and Therapeutics (First Department of Internal Medicine), Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0125, Japan. hokama-a@med.u-ryukyu.ac.jp
Telephone: +81-98-8951144 Fax: +81-98-8951414
Received: March 6, 2009
Revised: August 26, 2009
Accepted: September 2, 2009
Published online: October 15, 2009
Abstract

Endoscopic clipping has been established as a safe and effective method for the treatment of nonvariceal upper gastrointestinal bleeding in numerous randomized studies. Recently, clipping has been applied to various lesions in the lower gastrointestinal tract, including diverticular bleeding, postpolypectomy bleeding, and repair of perforations with successful outcomes. We review the safety and efficacy of this maneuver for the management of diseases in the lower gastrointestinal tract.

Keywords: Hemoclip; Clipping; Clips; Hemostasis; Gastrointestinal bleeding; Endoscopy; Diverticular disease; Postpolypectomy bleeding; Acute hemorrhagic rectal ulcer; Colon