Hayashi et al in Japan first described over 20 years ago the application of an endoclip as a therapeutic endoscopic maneuver.
The advantage of the Resolution[TM] endoclip is that it is engineered to enable opening and closing up to five times before deployment, aiding in repositioning of the clip.
Two Resolution[TM] endoclips (Boston Scientific, Natick, MA) were used to engage and then oppose the opposite margins of the internal GCF opening (Fig.
We believe that the placement of endoclips may prove useful in patients with refractory gastrocutaneous fistulas, should be considered first-line therapy, and in many patients should preclude the need for surgery.
Subsequently, 2 endoclips (QuickClip2, Olympus) were applied to mucosal surface of the spurting bleeder, which completely achieved hemostasis (Fig.
Endoclips dislodge spontaneously and are passed in the feces without any complications.
Endoclips were applied to mucosal surface of the spurting bleeder, which completely achieved hemostasis.
We were very pleased by the publication of a third-party study in the October 2009 issue of the Journal of Vascular Interventional Radiology, in which the authors concluded that uterine artery embolization is superior to the laparoscopic occlusion of uterine arteries employing Endoclips
Key Words: duodenal perforation, endoclips, endoclipping, gastrointestinal perforation
In 1993, Binmoeller et al (8) in Germany were the first to report the use of endoclips to close a 5-mm perforation after snare resection of a gastric leiomyoma.
The use of endoclips to close traumatic or iatrogenic perforation represents a new alternative to surgical or medical management.
Still, some limitations to the use of endoclips apply.