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

  • Why is Gastrology Endoscopy Necessary in the Early Diagnosis?

    Why is Gastrology Endoscopy Necessary in the Early Diagnosis?

    May 11, 20211. What is gastrology endoscopy?Gastrology endoscopy is a medical examination method that uses a thin and soft tube to extend into the patient's stomach. The electronic display allows doctors to d...view
  • The Importance of Biliary Stents

    The Importance of Biliary Stents

    May 11, 2021The biliary system has the functions of secreting, storing, concentrating and transporting bile, and plays an important role in regulating the discharge of bile into the duodenum.Malignant biliary obs...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
  • Application of Hemostasis Clips Under Endoscope

    Application of Hemostasis Clips Under Endoscope

    May 11, 20211. Hemostasis clips have important functionsGastrointestinal bleeding is a common emergency in internal medicine, which requires surgical treatment to achieve hemostasis. With the development of endos...view
  • How Much Do You Know About Disposable Cell Brushes?

    How Much Do You Know About Disposable Cell Brushes?

    March 11, 2021The single-use cytology brushes are composed of a thumb ring, catheter, long rivet head, positioner, sliding handle, short rivet head, sheath, guide wire, brush head, and connecting tube. It is a sing...view
  • The Working Priciple of Hemostasis Clip

    The Working Priciple of Hemostasis Clip

    March 11, 20211. Precautions in the Use of Hemostasis ClipsThe opening angle of a hemostasis clip should be mastered, and the opening angle should not be too small.The hemostatic clip at the cardia, under the cardi...view