OTSC for Duodenal Ulcer Bleeding: A One-Stop Solution for Challenging Cases
When faced with active duodenal ulcer bleeding, particularly in anatomically challenging locations, the Over-The-Scope Clip (OTSC) can be your best friend. Today I want to share a case that perfectly demonstrates why this tool should be in every endoscopist’s arsenal for high-risk bleeding scenarios. The Clinical Challenge This patient presented with active bleeding from a…...
Managing Heyde Syndrome: From Aortic Valves to Endoscopic Intervention
Heyde syndrome represents one of the most fascinating intersections between cardiology and gastroenterology, where aortic stenosis leads to gastrointestinal bleeding through acquired von Willebrand disease. Understanding the full spectrum of management options is crucial for optimizing patient outcomes in this complex condition. The Expanding Spectrum of Heyde Syndrome What we’ve learned over the years…...
Mastering Argon Plasma Coagulation: Four Essential Techniques for Better Outcomes
Argon plasma coagulation (APC) ranks among the most frequently performed therapeutic interventions in gastrointestinal endoscopy. While APC serves multiple purposes beyond hemostasis, mastering the nuances of bleeding control: whether for prophylaxis or active treatment: remains fundamental to our practice. Today, I’ll share four refined techniques that can significantly improve your outcomes when treating angiodysplasias, GAVE,…...
Hemostatic Powders: A Modern Tool for Gastrointestinal Bleeding
Hemostatic powders represent one of the most interesting developments in endoscopic bleeding management over the past decade. While traditional mechanical and thermal methods remain our mainstays, these powder-based agents offer unique advantages in challenging bleeding scenarios where conventional approaches may fall short. The Science Behind Hemostatic Powders The mechanism of action for hemostatic powders is…...