Endoscopic Detachable Snare Ligation Improves the Treatment for Colonic Diverticular Hemorrhage

Digestion ◽  
2019 ◽  
Vol 101 (2) ◽  
pp. 208-216 ◽  
Author(s):  
Katsumasa Kobayashi ◽  
Yohei Furumoto ◽  
Daisuke Akutsu ◽  
Mana Matsuoka ◽  
Takahito Nozaka ◽  
...  
Keyword(s):  
Diverticular Hemorrhage ◽  
Colonic Diverticular Hemorrhage

scholarly journals Increase in colonic diverticular hemorrhage and confounding factors

2016 ◽  
Vol 7 (3) ◽  
pp. 440 ◽  
Author(s):  
Ken Kinjo ◽  
Toshiyuki Matsui ◽  
Takashi Hisabe ◽  
Hiroshi Ishihara ◽  
Shinichiro Maki ◽  
...  
Keyword(s):  
Confounding Factors ◽  
Diverticular Hemorrhage ◽  
Colonic Diverticular Hemorrhage

scholarly journals Effectiveness and adverse events of endoscopic clipping versus band ligation for colonic diverticular hemorrhage: A large-scale multicenter cohort study

Endoscopy ◽  
2021 ◽  
Author(s):  
Katsumasa Kobayashi ◽  
Naoyoshi Nagata ◽  
Yohei Furumoto ◽  
Atsushi Yamauchi ◽  
Atsuo Yamada ◽  
...  
Keyword(s):  
Cohort Study ◽  
Large Scale ◽  
Length Of Hospital Stay ◽  
Multicenter Cohort Study ◽  
Band Ligation ◽  
Prolonged Length ◽  
Diverticular Hemorrhage ◽  
Significant Difference ◽  
Colonic Diverticular Hemorrhage ◽  
Endoscopic Clipping

Background and study aims: Prior studies have shown the effectiveness of endoscopic band ligation (EBL) and clipping for colonic diverticular hemorrhage (CDH) but have been small and conducted at single centers. Thus, we investigated which was the more effective and safe treatment in a multicenter long-term cohort study. Patients and methods: We reviewed data for 1,679 patients with CDH who were treated with EBL (n=638) or clipping (n=1,041) between January 2010 and December 2019 at 49 hospitals across Japan (CODE BLUE-J Study). Logistic regression analysis was used to compare outcomes between the two treatments. Results: In multivariate analysis, EBL compared with clipping was independently associated with reduced risk of early rebleeding (adjusted odds ratio [AOR] 0.46; p<0.001) and late rebleeding (AOR 0.62; p<0.001). These significantly lower rebleeding rates with EBL were evident regardless of active bleeding or early colonoscopy. No significant difference was found between the treatments in the rate of initial hemostasis or mortality. EBL compared with clipping independently reduced the risk of need for interventional radiology (IVR) (AOR 0.37; p=0.006) and prolonged length of hospital stay (LOS) (AOR 0.35; p<0.001), but not need for surgery. Diverticulitis developed in 1 patient (0.16%) following EBL and 2 patients (0.19%) following clipping. Perforation occurred in 2 patients (0.31%) following EBL and none following clipping. Conclusions: Analysis of our large endoscopy dataset suggests that EBL is an effective and safe endoscopic therapy for CDH offering the advantages of lower early and late rebleeding rates, reduced need for IVR, and shorter LOS.

586 Long-Term Outcomes of Endoscopic Band Ligation (EBL) for Colonic Diverticular Hemorrhage

2013 ◽  
Vol 77 (5) ◽  
pp. AB162 ◽  
Author(s):  
Kaoru Nakano ◽  
Naoki Ishii ◽  
Yuto Shimamura ◽  
Takashi Ikeya ◽  
Kenji Nakamura ◽  
...  
Keyword(s):  
Long Term Outcomes ◽  
Band Ligation ◽  
Diverticular Hemorrhage ◽  
Endoscopic Band Ligation ◽  
Colonic Diverticular Hemorrhage

Colonic diverticular hemorrhage associated with the use of nonsteroidal anti-inflammatory drugs, low-dose aspirin, antiplatelet drugs, and dual therapy

2014 ◽  
Vol 29 (10) ◽  
pp. 1786-1793 ◽  
Author(s):  
Naoyoshi Nagata ◽  
Ryota Niikura ◽  
Tomonori Aoki ◽  
Takuro Shimbo ◽  
Yoshihiro Kishida ◽  
...  
Keyword(s):  
Low Dose ◽  
Dual Therapy ◽  
Antiplatelet Drugs ◽  
Diverticular Hemorrhage ◽  
Dose Aspirin ◽  
Low Dose Aspirin ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Colonic Diverticular Hemorrhage

Arterial ligation for control of colonic diverticular hemorrhage

JAMA ◽  
1971 ◽  
Vol 217 (8) ◽  
pp. 1100-1101 ◽  
Author(s):  
J. C. Gieske
Keyword(s):  
Arterial Ligation ◽  
Diverticular Hemorrhage ◽  
Colonic Diverticular Hemorrhage

Arteriographic Diagnosis and Management of Suspected Colonic Diverticular Hemorrhage

1973 ◽  
Vol 64 (6) ◽  
pp. 1091-1100 ◽  
Author(s):  
Harvey Eisenberg ◽  
Igor Laufer ◽  
John J. Skillman
Keyword(s):  
Diagnosis And Management ◽  
Diverticular Hemorrhage ◽  
Colonic Diverticular Hemorrhage

Newly developed endoscopic detachable snare ligation therapy for colonic diverticular hemorrhage: a multicenter phase II trial (with videos)

2018 ◽  
Vol 88 (2) ◽  
pp. 370-377 ◽  
Author(s):  
Daisuke Akutsu ◽  
Toshiaki Narasaka ◽  
Katsumasa Kobayashi ◽  
Kenji Matsuda ◽  
Mariko Wakayama ◽  
...  
Keyword(s):  
Phase Ii ◽  
Phase Ii Trial ◽  
Diverticular Hemorrhage ◽  
Multicenter Phase ◽  
Colonic Diverticular Hemorrhage

Su1660 Should All Patients With Colonic Diverticular Hemorrhage Undergo Urgent Colonoscopy?

2015 ◽  
Vol 81 (5) ◽  
pp. AB369
Author(s):  
Michiko Sato ◽  
Motohiko Kato ◽  
Masayuki Suzuki ◽  
Keiichiro Abe ◽  
Yoshiaki Takada ◽  
...  
Keyword(s):  
Diverticular Hemorrhage ◽  
Colonic Diverticular Hemorrhage

T1048 NSAIDs Accelerated a Risk of Colonic Diverticular Hemorrhage: A Case-Control Study

2010 ◽  
Vol 138 (5) ◽  
pp. S-477
Author(s):  
Nanae Tsuruoka ◽  
Naoyuki Tominaga ◽  
Natsuko Shirahama ◽  
Ryo Nakano ◽  
Ryo Shimoda ◽  
...  
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Diverticular Hemorrhage ◽  
Colonic Diverticular Hemorrhage ◽  
Control Study

Visceral fat accumulation affects risk of colonic diverticular hemorrhage

2015 ◽  
Vol 30 (10) ◽  
pp. 1399-1406 ◽  
Author(s):  
Naoyoshi Nagata ◽  
Kayo Sakamoto ◽  
Tomohiro Arai ◽  
Ryota Niikura ◽  
Takuro Shimbo ◽  
...  
Keyword(s):  
Visceral Fat ◽  
Fat Accumulation ◽  
Visceral Fat Accumulation ◽  
Diverticular Hemorrhage ◽  
Colonic Diverticular Hemorrhage
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