Hemostatic clips are used for the following:
Polypectomy. Hemostatic clips are primarily used for the removal of long-pedunculated polyps (IP and Isp types). Pedunculated hemostatic clips can block the nutrient vessels of nutrient-rich polyps, reducing the risk of bleeding after the removal of long-pedunculated or subpedunculated polyps.
Elective surgical wound closure. Hemostatic clips are used to close wounds primarily to prevent complications such as delayed bleeding and delayed perforation from ESD wounds, such as ulcers associated with bleeding. For upper gastrointestinal bleeding associated with ulcers, such as those in the gastric angle or antrum, if the area is small, direct hemostatic clips can be used to close the wound. For larger ulcers with exposed blood vessels, clipping both sides of the bleeding area can be used to achieve hemostasis.
Bleeding caused by Dieulafoy's disease. Because bleeding in Dieulafoy's disease is rapid, but the lesions are often hidden or small, direct hemostatic clips are generally preferred. This is also a very effective treatment for Duchenne disease. Unless endoscopic hemostasis fails and surgery is necessary, most cases of Dieulafoy's disease can be successfully controlled endoscopically.
Hemostatic clips for perforation treatment. For physicians and hospitals with high workloads, gastrointestinal perforation is not uncommon, and treatment options are not traditionally surgical. Endoscopic treatment primarily relies on simple occlusion with hemostatic clips, which can still achieve relatively good occlusion results.
