{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T10:28:45Z","timestamp":1787740125579,"version":"build-2784847793"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"10","license":[{"start":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T00:00:00Z","timestamp":1727049600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n            Background and study aims Hemostasis for post-endoscopic sphincterotomy (post-EST) bleeding involves no standard strategy. New clips designed for delivery using the duodenoscope (SureClip, Micro-Tech, Nanjing, China) have been utilized for gastrointestinal bleeding hemostasis and bleeding prevention after polypectomy and papillectomy. We retrospectively analyzed the effectiveness and safety of SureClip for post-EST bleeding.<\/jats:p><jats:p>\n            Patients and methods Of 608 patients with endoscopic sphincterotomy (EST), 41 cases (6.7%) experienced post-EST bleeding from 2019 to 2023. Of these patients, 24 underwent hemostasis by SureClip, and the success rate of complete hemostasis and complication by hemostasis by SureClip was analyzed.<\/jats:p><jats:p>\n            Results In 12 and 12 patients with urgent and delayed bleeding, 11 (91.7%) and 11 (91.7%) had successful hemostasis, respectively. In addition, missed patients achieved complete hemostasis with additional transcatheter arterial embolization and balloon compression, respectively. No complications were observed, including perforation, pancreatitis, and clipping bile duct and pancreatic duct by mistake.<\/jats:p><jats:p>\n            Conclusions Hemostasis with SureClip is safe, effective, and not expensive for post-EST bleeding. It could be the first choice for hemostasis in patients with post-EST bleeding refractory to balloon compression.<\/jats:p>","DOI":"10.1055\/a-2420-2419","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T23:30:41Z","timestamp":1727134241000},"page":"E1190-E1195","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness and safety of a new clip for delivery using a duodenoscope for bleeding after endoscopic sphincterotomy"],"prefix":"10.1055","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6916-4108","authenticated-orcid":false,"given":"Atsushi","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Gastroenterology, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Kamada","sequence":"additional","affiliation":[{"name":"Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeaki","family":"Semba","sequence":"additional","affiliation":[{"name":"Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naohiro","family":"Kato","sequence":"additional","affiliation":[{"name":"Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Okuda","sequence":"additional","affiliation":[{"name":"Gastroenterology, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"},{"name":"Gastroenterology, Hiroshima University Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Teraoka","sequence":"additional","affiliation":[{"name":"Gastroenterology, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Mizumoto","sequence":"additional","affiliation":[{"name":"Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuzuru","family":"Tamaru","sequence":"additional","affiliation":[{"name":"Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Hatakeyama","sequence":"additional","affiliation":[{"name":"Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotaka","family":"Kouno","sequence":"additional","affiliation":[{"name":"Gastroenterology, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeto","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1097\/MCG.0000000000001906","article-title":"Application of a new hemostatic clip to prevent delayed bleeding after endoscopic sphincterotomy: a propensity score-matched analysis","volume":"58","author":"J Dong","year":"2024","journal-title":"J Clin Gastroenterol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1055\/a-1075-4080","article-title":"ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline","volume":"52","author":"JM Dumonceau","year":"2020","journal-title":"Endoscopy"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1120","DOI":"10.1053\/j.gastro.2020.05.095","article-title":"AGA Clinical Practice Update on Endoscopic Therapies for Non-Variceal Upper Gastrointestinal Bleeding: Expert Review","volume":"159","author":"DK Mullady","year":"2020","journal-title":"Gastroenterology"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/s12876-015-0367-2","article-title":"Cap-assisted hemoclip application with forward-viewing endoscope for hemorrhage induced by endoscopic sphincterotomy: a prospective case series study","volume":"15","author":"F Liu","year":"2015","journal-title":"BMC Gastroenterol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2783","DOI":"10.1007\/s00464-016-5287-x","article-title":"Endoclip therapy of post-sphincterotomy bleeding using a transparent cap-fitted forward-viewing gastroscope","volume":"31","author":"HK Chon","year":"2017","journal-title":"Surg Endosc"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1055\/a-1737-3843","article-title":"Effect of prophylactic endoscopic clipping for prevention of delayed bleeding after endoscopic papillectomy for ampullary neoplasm: a multicenter randomized trial","volume":"54","author":"SW Park","year":"2022","journal-title":"Endoscopy"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"150","DOI":"10.5946\/ce.2020.217","article-title":"Practical experiences of unsuccessful hemostasis with covered self-expandable metal stent placement for post-endoscopic sphincterotomy bleeding","volume":"55","author":"M Yoshida","year":"2022","journal-title":"Clin Endosc"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1016\/j.dld.2023.01.157","article-title":"Efficacy and safety of novel hemostatic gel in endoscopic sphincterotomy or endoscopic papillectomy: A multicenter, randomized controlled clinical trial","volume":"55","author":"JH Choi","year":"2023","journal-title":"Dig Liver Dis"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.gie.2018.07.025","article-title":"Choosing the right through-the-scope clip: a rigorous comparison of rotatability, whip, open\/close precision, and closure strength (with videos)","volume":"89","author":"TJ Wang","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/S0016-5107(91)70740-2","article-title":"Endoscopic sphincterotomy complications and their management: an attempt at consensus","volume":"37","author":"PB Cotton","year":"1991","journal-title":"Gastrointest Endosc"}],"container-title":["Endoscopy International 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