Abstract
Hemoclip therapy is the most commonly used method that have high success rate of endoscopic hemostasis in Japan. Nevertheless, there is no report how to adapt various kinds of hemoclips. From 2004 through 2011, we performed a retrospective study of comparison between groupA (n＝29) ；the Standard type hemoclips (arm length 7.5mm) method using hemoclip of HX-600/610-135 (OLYMPUS) versus groupB (n＝57) ；the both short and long type hemoclips (arm length 6mm and 9mm, respectively) method using two kinds of hemoclips of both HX-600/610-135S and HX-600/610-090L for gastric ulcer with active bleeding. The endoscopic re-treatment for both condition of rebleeding and visible vessel without bleeding at second look endoscopy was achieved 20.7% in groupA vs. 5.3% in groupB (P‹0.05) . In conclusion, the combination of short and long type hemoclips therapy was one of the effective hemostasis method for hemorrhagic gastric ulcer.
