Successful direct clipping of the bleeding source of a colonic diverticular hemorrhage using the "long-hood gel-filling" method.

Abstract

Although various endoscopic hemostasis techniques for colonic diverticular bleeding have recently been reported [1], identifying the bleeding diverticulum among other diverticula is difficult [2], and identifying the bleeding vessels within the diverticulum is even more difficult. The usefulness of a long hood (MAJ663; Olympus) [3] and endoscopic-viewing gel (VISCOCLEAR) [4] [5] when identifying the bleeding diverticulum has recently been reported. Here, we report successful direct clipping of the bleeding source for a colonic diverticular hemorrhage using a long hood and gel (the “long-hood gel-filling method”).