USAGE EXPERIENCE OF OVER-THE-SCOPE CLIPS FOR HEMOSTASIS OF COLONIC DIVERTICULAR HEMORRHAGE (WITH VIDEOS)

Abstract

The Over-the-Scope Clip (OTSC) is a newly developed endoscopic suturing device designed for mechanical compression and tissue approximation that has been used for complicated cases of gastrointestinal bleeding, management of perforation and fistulae, and full-thickness resection of tumors. Some reports have suggested that use of OTSCs is an effective method of endoscopic hemostasis of colonic diverticular hemorrhage in other countries, but there has been no report in Japan so far. We report eight cases of colonic diverticular hemorrhage that were treated by the use of OTSCs. Hemostasis was successfully achieved in all eight cases without early-phase rebleeding nor adverse events. It is considered that use of OTSCs is an effective and safe method of endoscopic hemostasis of colonic diverticular hemorrhage.