Precautions for Clamping The Target with Hemostasis Clip

The process of using the hemostatic clip is mainly the process of hooking the "hooks" on both sides of the hemostatic clip to the "soft normal mucosa" and then clamping it. Therefore, the main point of the clamping process is to "hook" and "clamp" the "normal tissue".

Have you ever encountered the operation of clamping without hooking the normal tissue and having no choice but to clamp it down? If you often encounter this situation, it means that there is still room for improvement in the technique of hemostasis clipping.

1. The Trauma Area is Too Large, Affecting the Operation of the Hemostasis clip

For ESD or digestive tract perforation with large area, it may be difficult to use simple hemostasis clip closure. Under this circumstance, if you make hemostasis clip deliberately close, it may result in failure in closing or occuring hooking incomplete situation, which will results in closure failure. Thus, for ESD or digesticve tract peforation with large area, it is better to use titanium nylon rope to help the clip close.

2. The Tissue is Hard, Which Easily Leads to Hemostasis Clip Closure Failure

When the clamped tissue is too tough, though the hemostasis clip can hook to normal tissue, it is difficult to achieve the ideal hemostasis clip closure process because the lesion cannot be "softened". We often encounter patients with esophageal union who have difficulty with hemostasis clip closure after POEM. The main reason for this problem is that the esophageal wall is scarred due to long-term inflammation.

3. The Tissue is Too Brittle, Which Affects the Clamping Operation of the Hemostasis Clip

When the clamped tissue is too brittle, such as when the cancerous tissue bleeds, the hemostasis effect of endoscopic hemostasis clips may be very poor or even unable to stop the bleeding because the clips cannot hook to the normal mucosa, resulting in the inability of the hemostasis clips to achieve the proper clamping effect.

4. Due to Poor Position, Affecting the Closure Operation of the Hemostasis Clip is Affected

The use of any titanium clip should take into account the impact of different positions on the hemostasis clip placement process. For example, the use of hemostasis clip in places like the upper gastrointestinal tract, the gastric fundus near the cardia, the lower less curved side of the gastric body near the posterior wall and the posterior wall of the duodenum is very difficult. Due to excessive angles or insufficient angles when inserting the release device, or the narrow ball space, difficult-to-be-exposed walls and many other factors, the foregoing places can make the release and clamping process of the hemostatic clip very difficult.

Relate Blogs

  • The Knowledge of Intestinal Stent

    The Knowledge of Intestinal Stent

    March 11, 2021In recent years, there has been a gradual increase in the number of domestic and foreign reports on the use of various metal stents as intestinal luminal support for the treatment of malignant obstruc...view
  • Complications of Colorectal Stent Placement and Treatment

    Complications of Colorectal Stent Placement and Treatment

    May 11, 2021The following is the basic knowledge that necessary for the treatment of complications of colorectal stent placement.1. Clarity the indications of colorectal stent placementIt is important to correctl...view
  • The Paper Analyzes The Disinfection And Use of Biopsy Forceps

    The Paper Analyzes The Disinfection And Use of Biopsy Forceps

    March 11, 2021Biopsy forceps are indispensable tools for endoscopy to obtain pathological specimens, and if contaminated biopsy forceps are used to obtain specimens, it will lead to the occurrence of nosocomial inf...view
  • How to Restore Diet After Emr Gastro Procedure?

    How to Restore Diet After Emr Gastro Procedure?

    May 11, 20211. Patients should pay attention to diet after EMR gastro procedureIn general, most of the gastrointestinal function has begun to recover by the second to third day after EMR gastro procedure, which i...view
  • A Brief Analysis of Disposable Biopsy Forceps

    A Brief Analysis of Disposable Biopsy Forceps

    March 11, 20211. Details of the Use of Disposable Biopsy ForcepsThe most critical thing for the use of disposable biopsy forceps is the mastery of strength. Generally, during the operations with forceps, you can u...view
  • How Much Do You Know About Tracheal Stent Placement?

    How Much Do You Know About Tracheal Stent Placement?

    May 11, 20211. Methods of tracheal stent placementCurrently, there are three methods for tracheal stent placement. The first method is guided by the fiberoptic bronchoscope, and the stent is placed under X-ray fl...view