Abstract
Recently many endoscopic hemostatic techniques against upper gastrointestinal bleeding have been devised. The endoscopic clipping technique had been devised by Dr. Hayashi, Dr. Kuramata and others about ten years ago, however, this method did not come into wide use for the reasons of complicated mechanism of the clipping apparatus and not satisfactory result. In spite of these reasons, the clipping hemostasis must be the most reliable technique, because the clip can grasp directly at the blood vessel. Therefore we had devised an improved clipping apparatus. Some advantages of this apparatus are as follows. (1) Handling of the apparatus is easier than the ordinary ones. (2) Hemostatic effect is reliable, because this clip can grasp tightly bleeding tissue by its long and narrow structure. From April 1975 to December 1983, 82 cases (92 times) were treated with endoscopic hemostasis at Sakura National Hospital, and 24 cases of them were treated with the improved clipping apparatus without serious complications, i. e. perforation, massive rebleeding and others. Hemostatic effect of the improved clipping technique were as follows : permanent 74.1%, temporary 14.8% and noneffective 11.1%.
