Lower GI-UTILITY OF GEL IMMERSION METHOD FOR TREATING MASSIVE COLONIC DIVERTICULAR BLEEDING

UTILITY OF GEL IMMERSION METHOD FOR TREATING MASSIVE COLONIC DIVERTICULAR BLEEDING

Video Transcription

Video Summary

The video discusses the utility of the gel immersion method for treating massive colonic diverticular bleeding. It is reported that the gel immersion method using OS1 jelly in endoscopy for gastrointestinal bleeding is effective. The video focuses on the efficacy of the gel immersion method in patients with massive right-sided colonic diverticular bleeding. The difficulty in identifying the source of bleeding is explained, as diverticular bleeding is intermittent and massive bleeding obstructs the visual field. The use of water jet scope is mentioned as a predictive factor of identifying bleeding, but in cases of massive bleeding, it mixes with blood, making it difficult to identify the source. The gel-emergent method, using OS-1 jelly instead of water, is introduced as a potential solution. The video presents a case study where OS-1 jelly successfully washed out blood clots, improved the visual field, and allowed for the detection of non-bleeding visible vessels and adherent clots. The study included 9 patients, and the bleeding source identification and hemostatic treatment rate was 66.7%. In right-sided diverticular bleeding cases, effective hemostasis was achieved in 85.7% of patients. The gel immersion method was found to be efficient in increasing the detection rate of both active bleeding and non-bleeding visible vessels and adherent clots in patients with right-sided diverticular bleeding.

Asset Subtitle

Video Plenary - Authors: Kazuki Yamamoto, Yasutoshi Shiratori, Takashi Ikeya

Keywords

gel immersion method

colonic diverticular bleeding

OS1 jelly

endoscopy

gastrointestinal bleeding