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While standard endoscopic treatments remain irreplaceable, novel endoscopic modalities have changed the landscape of management. Over\u2010the\u2010scope clips have high success rates as rescue or even first\u2010line treatments in difficult\u2010to\u2010treat cases. Hemostatic powder is safe and easy to use, which can be useful as temporary control with its high immediate hemostatic ability. After endoscopic hemostasis, Doppler endoscopic probe can offer an objective measure to guide the treatment endpoint. In refractory bleeding, angiographic embolization should be considered before salvage surgery. In variceal hemorrhage, banding ligation and glue injection are first\u2010line treatment options. Endoscopic ultrasound\u2010guided therapy is gaining popularity due to its capability of precise localization for treatment targets. A self\u2010expandable metal stent may be considered as an alternative option to balloon tamponade in refractory bleeding. 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