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During recent years, new endoscopic devices have been developed and existing endoscopic techniques have been adapted to facilitate primary control of bleeding or achieve haemostasis in refractory haemorrhage. For mechanical haemostasis, larger, rotatable and repositionable clips have been developed; multiple-preloaded clips are also available now. Over the scope clips allow to ligate larger vessels and can close ulcer defects up to 20\u2005mm. Topical, easily applied substances withdraw fluid from the blood and thereby initiate blood clotting. This can be helpful in diffuse oozing bleeding, for example, from tumour or hypertensive gastropathy and has also shown promising results in variceal and arterial bleeding as bridging before definitive treatment is available. Radiofrequency ablation and multiband ligation have emerged as new tools in the endoscopic management of gastric antral vascular ectasia. In acute refractory variceal bleeding, a covered and removable oesophagus stent can provide tamponade and gain time for transport to an interventional endoscopic centre or for radiological intervention such as TIPS.<\/jats:p>","DOI":"10.1136\/flgastro-2014-100540","type":"journal-article","created":{"date-parts":[[2015,1,23]],"date-time":"2015-01-23T23:41:07Z","timestamp":1422056467000},"page":"147-152","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["New and emerging endoscopic haemostasis techniques"],"prefix":"10.1136","volume":"6","author":[{"given":"Rebecca","family":"Palmer","sequence":"first","affiliation":[{"name":"Translational Gastroenterology Unit, Oxford University Hospitals, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Braden","sequence":"additional","affiliation":[{"name":"Translational Gastroenterology Unit, Oxford University Hospitals, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,1,23]]},"reference":[{"key":"2025090709405704000_6.2.147.1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2010.228437"},{"key":"2025090709405704000_6.2.147.2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e3412"},{"key":"2025090709405704000_6.2.147.3","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-152-2-201001190-00009"},{"key":"2025090709405704000_6.2.147.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2011.04747.x"},{"key":"2025090709405704000_6.2.147.5","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.cgh.2011.07.025","article-title":"Management of patients with nonvariceal upper gastrointestinal bleeding","volume":"10","author":"Greenspoon","year":"2012","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2025090709405704000_6.2.147.6","doi-asserted-by":"crossref","first-page":"162","DOI":"10.5946\/ce.2014.47.2.162","article-title":"Predictive factors for intractability to endoscopic hemostasis in the treatment of bleeding gastroduodenal peptic ulcers in Japanese patients","volume":"47","author":"Ogasawara","year":"2014","journal-title":"Clin Endosc"},{"key":"2025090709405704000_6.2.147.7","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2009.507"},{"key":"2025090709405704000_6.2.147.8","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1007\/s00535-009-0186-8","article-title":"Evaluation of hemostasis with soft coagulation using endoscopic hemostatic forceps in comparison with metallic hemoclips for bleeding gastric ulcers: a prospective, randomized trial","volume":"45","author":"Arima","year":"2010","journal-title":"J Gastroenterol"},{"issue":"(Suppl 1)","key":"2025090709405704000_6.2.147.9","first-page":"S22","article-title":"Endoscopic hemostasis of gastric ulcer bleeding by hemostatic forceps coagulation","volume":"22","author":"Nagata","year":"2010","journal-title":"Dig Endosc"},{"key":"2025090709405704000_6.2.147.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2010.00961.x"},{"key":"2025090709405704000_6.2.147.11","doi-asserted-by":"crossref","unstructured":"Nunoue T , Takenaka R , Hori K , et al . 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