Endoscopic clipping in the lower gastrointestinal tract

Figure 1 Endoscopic clipping for the treatment of colonic diverticular bleeding. A: An actively bleeding colonic diverticulum of the ascending colon in a 78-year-old man with chronic obstructive pulmonary disease; B: Hemostasis was achieved with a clip.

Figure 2 Endoscopic clipping for the treatment of postpolypectomy bleeding. A: A semipedunculated polyp was treated by an endoscopic mucosal resection technique in the sigmoid colon in a 64-year-old man with hypertension; B: Active bleeding occurred at the postpolypectomy ulcer on the next day; C: Hemostasis was achieved with clips.

Figure 3 Endoscopic clipping for the prophylactic management to prevent delayed postpolypectomy bleeding. A: A pedunculated polyp of the ileum in a 28-year-old man with Peutz-Jeghers syndrome; B: After application of a clip at the base of the long stalk to prevent delayed bleeding, the polyp was resected by snare.

Figure 4 Endoscopic clipping for the treatment of acute hemorrhagic rectal ulcer. A: An exposed vessel of the rectal ulcer in a bed-ridden 70-year-old man with liver cirrhosis and severe burn; B: A clip was directly applied to the vessel.