Gastrointestinal bleeding is a common emergency in internal medicine, which requires surgical treatment to achieve hemostasis. With the development of endoscopic hemostasis technology, emergency endoscopic hemostasis has become the first choice for the treatment of gastrointestinal bleeding, in which hemostasis clips play an important role.
(1) It is necessary to decide the number of hemostatic clips to release according to the condition. After all the release, saline should be spayed to the lesion and observe for 3 to 5 seconds. The treatment can be ended after confirming the bleeding is completely hemostasis or the placement position is correct.
(2) Hemostasis clips are mainly used for small arterial bleeding. However, most of the bleeding is turbulent, multiple hemostasis clips are needed to stop the bleeding quickly. Hemostasis clips are mostly located at 8 o'clock in the field of vision of the endoscope, and it is easy to clamp if the bleeding vessel is located at 2 o'clock. Hemostasis clips should be placed perpendicular to the direction of the blood vessel. If the blood vessel is obvious, it can be clamped directly to effectively stop bleeding. If the blood vessel cannot be clamped, then it can be clamped together with the mucosal tissues on both sides.
(3) The space of the duodenal bulb is small, especially when the posterior wall ulcers. It is difficult to make hemostasis clips perpendicular to the direction of the blood vessel, which means the application is limited. When there is bleeding, the blood vessel can be compressed by injection first, and hemostasis clips can be placed after the sight is clear.
Hemostasis clips have great significance for the hemostasis of the symptoms of gastrointestinal bleeding. It is indispensable under the endoscope and is an important hemostatic component. Hemostasis clips are used for preoperative preparation and postoperative treatment. Compared with injection hemostasis, using hemostasis clips will not cause obvious complications.