ENDOSCOPIC HEMOSTASIS
Endoscopic Hemostasis
Hemostasis is the procedure to stop bleeding. Patients with bleeding from gastro- intestinal tract, may present with red or black colored vomiting and/or red/black colored stool. Upper GI endoscopy and colonoscopy can be used in the management of such bleeding. It is one of the most evolving areas of Gastroenterology.
The patient may present with low blood pressure and may need to be admitted in ICU for stabilization. A tube may be placed through the nose for lavage in order to empty the gastric content or a purgative may be given to empty the large bowel for better visualization during endoscopy. Sometimes, when the blood vomiting is massive, a tube may be inserted in the trachea (wind-pipe) of the patient to prevent the blood from entering and compromising patient’s breathing. In most of the patients, endoscopy will be done in 6 to 24 hours.
Our area of clinical expertise include:
Modalities Available
❖ Endoscopic Variceal Ligation: For Esophageal Varices (abnormally dilated veins) & GAVE (Gastric antral vascular ectasia)
❖ Endoscopic Glue Injection: For Gastric Varices
❖ Endoscopic Sclerotherapy: For Esophageal Varices, Internal Hemorrhoids
❖ Endoscopic Saline & Adrenaline injection: For Ulcer Bleeding
❖ Heat coagulation: By Gold probe or Hot Biopsy forceps for ulcer bleed
❖ APC (Argon Plasma Coagulation): For Radiation Proctitis, GAVE
❖ Hemospray: For diffuse bleeding
❖ Endoscopic Clipping: Through the scope clip to catch bleeding vessel, Over the scope clip for large bleeding ulcer
❖ Fully covered SEMS (Self expandable metallic stent): For variceal bleeding or biliary duct bleeding.
DEPT OF MEDICAL GASTROENTEROLOGY
DR. K. K RAWAL (MD, DM – GASTRO)
DR. AVVAL . K SADIKOT (MD, DNB-GASTRO)
DR. CHINTAN H . KANSAGRA (MD,DNB – GASTRO)
DR. CHINTAN M . MORI (MD,DNB – GASTRO)
