Hemoclipping is an endoscopic technique used to control gastrointestinal bleeding. Small metal clips are placed directly over a bleeding blood vessel or bleeding site to mechanically close it. The technique can be used in selected upper or lower gastrointestinal bleeding cases depending on the location and cause of bleeding.
When it is recommended
Hemoclipping may be considered for bleeding caused by conditions such as peptic ulcers, selected gastrointestinal lesions or identifiable bleeding vessels. It may also be used after certain endoscopic procedures when there is a risk of bleeding. The gastroenterologist determines the most appropriate technique based on the location, severity and source of bleeding.
About the procedure
During endoscopy, the bleeding area is identified using a camera attached to a flexible endoscope. A specialised clipping device is passed through the endoscope and positioned over the bleeding point. The clip is then deployed to compress the vessel or tissue and help achieve haemostasis.
Depending on the bleeding site and clinical circumstances, hemoclipping may be used alone or combined with other endoscopic techniques. The procedure can often be performed during the same endoscopy used to identify the source of bleeding.
Patients with significant gastrointestinal bleeding may first require emergency assessment, fluid or blood replacement and other medical stabilisation. After successful endoscopic treatment, patients are monitored for signs of recurrent bleeding and managed according to the underlying cause. Further endoscopic or other specialist treatment may be required if bleeding persists or returns.
