Acute gastrointestinal bleeding is a common cause for hospitalization. Endoscopic hemostasis plays a central role in the management of lesions with active bleeding or high-risk stigmata for rebleeding. The efficacy and safety of endoscopic hemostasis rely on the identification of lesions suitable for endoscopic therapy, selection of the appropriate hemostatic devices, attention to technique, and prompt recognition and management of procedure-related adverse events. In this article, practical applications of hemostatic devices and pitfalls related to endoscopic hemostasis are discussed.
Key points
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The major adverse events attributed to endoscopic hemostasis include precipitation of uncontrollable bleeding and perforation.
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The effective and safe application of endoscopic hemostasis necessitates a working knowledge of the various hemostatic tools available and recognition of pitfalls of endotherapy based on the location and characteristics of the targeted lesion.
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