Advancements in endoscopic hemostasis for non-variceal upper gastrointestinal bleeding

World J Gastrointest Endosc. 2024 Jul 16;16(7):376-384. doi: 10.4253/wjge.v16.i7.376.

Abstract

Non-variceal upper gastrointestinal (GI) bleeding is a significant cause of morbidity and mortality. Traditionally, through-the-scope (TTS) clips, thermal therapy, and injection therapies are used to treat GI bleeding. In this review, we provide an overview of novel endoscopic treatments that can be used to achieve hemostasis. Specifically, we discuss the efficacy and applicability of over-the-scope clips, hemostatic agents, TTS doppler ultrasound, and endoscopic ultrasound, each of which offer an effective method of reducing rates of GI rebleeding.

Keywords: Doppler probe; Endoscopic ultrasound; Endoscopy techniques; Gastrointestinal bleeding; Hemospray; Hemostasis; Hemostatic agents; Over-the-scope clips; Ovesco.

Publication types

  • Review