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World J Gastrointest Endosc. Feb 16, 2010; 2(2): 54-60
Published online Feb 16, 2010. doi: 10.4253/wjge.v2.i2.54
Endoscopic hemostasis techniques for upper gastrointestinal hemorrhage: A review
Hajime Anjiki, Terumi Kamisawa, Masaki Sanaka, Taro Ishii, Yasushi Kuyama
Hajime Anjiki, Terumi Kamisawa, Masaki Sanaka, Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo 113-8677, Japan
Taro Ishii, Yasushi Kuyama, Department of Internal Medicine, Teikyo University School of Medicine, Tokyo 173, Japan
Author contributions: Anjiki H wrote the paper and carried out the endoscopy; Kamisawa T and Sanaka M guided the thesis; Ishii T and Kuyama Y carried out the endoscopy.
Correspondence to: Hajime Anjiki, MD, PhD, Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, Japan.
Telephone: +81-3-38232101 Fax: +81-3-38241552
Received: August 19, 2009
Revised: September 12, 2009
Accepted: September 19, 2009
Published online: February 16, 2010

Upper gastrointestinal hemorrhage (UGIH) is an urgent disease that is often encountered in daily medical practice. Endoscopic hemostasis is currently indispensable for the treatment of UGIH. Initially, when UGIH is suspected, a cause of UGIH is presumed from the medical interview and physical findings. After ample primary treatment, urgent endoscopy is performed. Many methods of endoscopic hemostasis are in wide use, including hemoclip, injection and thermo-coagulation methods. Although UGIH develops from a wide variety of diseases, such as esophageal varices and gastric and duodenal ulcer, hemostasis is almost always possible. Identification of the causative diseases, primary treatment and characteristic features of endoscopic hemostasis are needed to allow appropriate treatment.

Keywords: Upper gastrointestinal hemorrhage, Primary treatment, Endoscopic hemostasis techniques