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DOI: 10.1055/s-2007-982019
© Georg Thieme Verlag Stuttgart · New York
Hämoclips - Für jeden Zweck der richtige Clip
Publication History
Publication Date:
25 May 2007 (online)
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Hämoclips als Zubehör für die flexible gastroenterologische Endoskopie wurden bereits in den 70er Jahren entwickelt. Erstmals war der Hämoclip (HX-600 und HX-200, Olympus) in den 80er Jahren kommerziell erhältlich, fand aber erst in den neunziger Jahren weitere Verbreitung. Prospektive Studien zeigten die Effektivität dieses Systems in der endoskopischen Blutstillung . Seit 2004 stehen nach der Präsentation des Triclip® (Wilson & Cook) und dem Resolution®-Clip (Boston Scientific) weitere effektive Clip-Systeme zur Verfügung. Klinische Daten liegen derzeit nur zu dem etablierten HX-600 Clip (Olympus) vor. Vergleiche mit den beiden neueren Clip-Systemen (Triclip®, Resolution-Clip®) existieren bisher nur in Form von experimentellen Studien, die aber vergleichbare Effektivität der verschiedenen Systeme erbrachten. Die vorliegende Arbeit gibt einen kurzen Überblick über experimentelle und klinische Daten zur Clip-Applikation bei der Endoskopischen Blutstillung und stellt die auf dem Markt befindlichen Systeme kurz vor.
Literatur
- 1 Hayashi T, Yonezawa M, Kawabara T. The study on staunch clip for the treatment by endoscopy. Gastroenterol Endosc. 1975; 17 92-101
- 2 Kuramata H, Eto S, Horiguchi K, Unayama F, Kazato K, Tsuboi A. Evaluation of gastrofiberscope for treatment (TGF prototype by Olympus Co). Stomach Intestine. 1974; 9 355-364
- 3 Hachisu T, Miyazaki S, Hamaguchi K. Endoscopic clipmarking of lesions using the newly developed HX-3L clip. Surg Endosc. 1989; 3 142-147
- 4 Raju GS, Gajula L. Endoclips for GI endoscopy. Gastrointest Endosc. 2004; 59 267-279
- 5 Chung IK, Ham JS, Kim HS, Park SH, Lee MH, Kim SJ. Comparison of the hemostatic efficacy of the endoscopic hemoclip method with hypertonic saline-epinephrine injection and a combination of the two for the management of bleeding peptic ulcers. Gastrointest Endosc. 1999; 49 13-18
- 6 Cipolletta L, Bianco MA, Marmo R, Rotondano G, Piscopo R, Vingiani AM. et al. . Endoclips versus heater probe in preventing early recurrent bleeding from peptic ulcer: a prospective and randomized trial. Gastrointest Endosc. 2001; 53 147-151
- 7 Gevers AM, De E Goede, Simoens M, Hiele M, Rutgeerts P. A randomized trial comparing injection therapy with hemoclip and with injection combined with hemoclip for bleeding ulcers. Gastrointest Endosc. 2002; 55 466-469
- 8 Lin HJ, Hsieh YH, Tseng GY, Perng CL, Chang FY, Lee SD. A prospective, randomized trial of endoscopic hemoclip versus heater probe thermocoagulation for peptic ulcer bleeding. Am J Gastroenterol. 2002; 97 2250-2254
- 9 Chou YC, Hsu PI, Lai KH, Lo CC, Chan HH, Lin CP. et al. . A prospective, randomized trial of endoscopic hemoclip placement and distilled water injection for treatment of high-risk bleeding ulcers. Gastrointest Endosc. 2003; 57 324-328
- 10 Hung SC. Current Management of Acute Gastrointestinal Bleeding. Scand J Gastroenterol. 2003; 38 9-12
- 11 Yamaguchi Y, Yamato T, Katsumi N, Imao Y, Aoki K, Morita Y. et al. . Endoscopic hemoclipping for upper GI bleeding due to Mallory-Weiss syndrome. Gastrointest Endosc. 2001; 53 427-30
- 12 Yamaguchi Y, Yamato T, Katsumi N, Imao Y, Aoki K, Morita Y. et al. . Short-term and long-term benefits of endoscopic hemoclip application for DieulafoyŽs lesion in the upper GI tract. Gastrointest Endosc. 2003; 57 653-656
- 13 Hochberger J, Euler K, Naegel A, Hahn EG, Maiss J. The compact-EASIE-Simulator (compact Erlangen Active Simulator for Interventional Endoscopy) - A Prospective Comparison in Structured Team-Training Courses on 'Endoscopic Hemostasis' for Doctors and Nurses to the ,Endo-Trainer'-Model. Scand J Gastroenterol. 2004; 39 895-902
- 14 Maiss J, Wiesnet J, Proeschel A, Matthes K, Prat F, Cohen J, Chaussade S, Sautereau D, Naegel A, Krauss N, Peters A, Hahn EG, Hochberger J. Objective Benefit of a One-day Training Course in Endoscopic Hemostasis Using the compactEASIE” - Endoscopy Simulator. Endoscopy. 2005; 37 552-558
- 15 Hochberger J, Matthes K, Maiss J, Koebnick C, Hahn EG, NYSGE-Study Group, Cohen J. Hemostasis Training using the compact-EASIE” Biological Endoscopy Simulator Significantly Improves Hemostasis Skills of Gastroenterology Fellows: A Randomized Controlled Comparison With Clinical Endoscopy Education Alone. Gastrintest Endosc. 2005; 61 204-215
- 15a Maiss J, Molzahn A, Ruderich F, Naegel A, Hahn EG. Nationale Erhebung zur endoskopischen und medikamentösen Therapie der Ulcusblutung in Deutschland. Z Gastroenterol. 2005; 43 1159
- 16 Hepworth CC, Kadirkamanathan SS, Gong F, Swain CP. A randomised controlled comparison of injection, thermal, and mechanical endoscopic methods of haemostasis on mesenteric vessels. Gut. 1998; 42 462-469
- 17 Gheorghe C. Endoscopic clipping focused on „triclip” for bleeding Dieulafoy's lesion in the colon. Rom J Gastroenterol.. 2005; 14 79-82
- 18 Maiss J, Dumser C, Zopf Y, Naegel A, Krauss N, Hochberger J, Matthes K, Hahn EG, Schwab D. 'Hemodynamic Efficacy' of two Endoscopic Clip Devices in the Treatment of Bleeding Vessels - An Experimental Testing Using the compactEASIE Model. Endoscopy. 2006; 38 575-580
- 19 Maiss J, Baumbach C, Zopf Y, Naegel A, Wehler M, Bernatik T, Hahn EG, Schwab D. Hemodynamic efficacy of the new Resolution® clip-device compared to high volume injection therapy in spurting bleedings: A prospective experimental trial using the compactEASIE®-simulator. Endoscopy. 38 808-812
- 20 Rabenstein T, Schneider HT, Nicklas M. et al. . Impact of skill and experience of the endoscopist on the outcome of endoscopic sphincterotomy techniques. Gastrointest Endosc. 1999; 50 628-636
- 21 Assios PS, Ladas SD, Grammenos I, Demertzis K, Raptis SA. Acquisition of competence in colonoscopy: the learning curve of trainees. Endoscopy. 1999; 31 702-706
Autorenanschrift
Dr. med. Jürgen Maiss
Med. Klinik 1 mit Poliklinik, Universität Erlangen-Nürnberg
Ulmenweg 18, 91054 Erlangen
Phone: 09131-8535000
Fax: 09133-602618
Email: juergen.maiss@med1.imed.uni-erlangen.de