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CC BY 4.0 · Endosc Int Open 2025; 13: a27340575
DOI: 10.1055/a-2734-0575
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Search, coagulation, and clipping with the shrink method to minimize ulcer base and prevent delayed bleeding after gastric endoscopic resection

Autoren

  • Satoshi Abiko 

    1   Digestive Disease Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan
    2   Department of Gastroenterology and Hepatology, Hokkaido University Hospital, Sapporo, Japan (Ringgold ID: RIN378609)

  • Yukiko Okada

    1   Digestive Disease Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan

  • Kazuki Yamamoto 

    1   Digestive Disease Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan

  • Yohei Nishikawa

    1   Digestive Disease Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan

  • Ippei Tanaka 

    1   Digestive Disease Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan

  • Haruhiro Inoue

    1   Digestive Disease Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan

  • Naoya Sakamoto

    2   Department of Gastroenterology and Hepatology, Hokkaido University Hospital, Sapporo, Japan (Ringgold ID: RIN378609)
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Introduction

Although the search, coagulation, and clipping (SCC) technique has been shown to be more effective than the post-endoscopic submucosal dissection (ESD) coagulation method in reducing delayed bleeding (DB) after gastric ESD [1], it does not entirely eliminate risk of DB. Applying large-sized clips during clipping may reduce the size of the mucosal defect, which could potentially promote ulcer healing and thereby lead to more efficient prevention of DB. Prevention of DB using the SCC with the shrink (SCC-S) method is reported here.



Publikationsverlauf

Eingereicht: 04. September 2025

Angenommen nach Revision: 22. Oktober 2025

Artikel online veröffentlicht:
25. November 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Bibliographical Record
Satoshi Abiko, Yukiko Okada, Kazuki Yamamoto, Yohei Nishikawa, Ippei Tanaka, Haruhiro Inoue, Naoya Sakamoto. Search, coagulation, and clipping with the shrink method to minimize ulcer base and prevent delayed bleeding after gastric endoscopic resection. Endosc Int Open 2025; 13: a27340575.
DOI: 10.1055/a-2734-0575
 

  • References

  • 1 Azumi M, Takeuchi M, Koseki Y. et al. The search, coagulation, and clipping (SCC) method prevents delayed bleeding after gastric endoscopic submucosal dissection. Gastric Cancer 2019; 22: 567-575
    Suche in Google Scholar
  • 2 Masunaga T, Kato M, Sasaki M. et al. Modified double-layered suturing for a mucosal defect after colorectal endoscopic submucosal dissection (Origami method) (with video). Gastrointest Endosc 2023; 97: 962-969
    Suche in Google Scholar
  • 3 Sugimoto S, Nomura T, Temma T. et al. Closure of gastric mucosal defects using the reopenable-clip over the line method to decrease the risk of bleeding after endoscopic submucosal dissection: a multicenter propensity score-matched case-control study (with video). Gastrointest Endosc 2025; 102: 37-46
    Suche in Google Scholar
  • 4 Goto O, Morita Y, Takayama H. et al. Endoscopic hand suturing has the potential to reduce bleeding after gastric endoscopic submucosal dissection in patients on antithrombotic agents: Multicenter phase II study. Dig Endosc 2025; 37: 266-274
    Suche in Google Scholar
  • 5 Hatta W, Tsuji Y, Yoshio T. et al. Prediction model of bleeding after endoscopic submucosal dissection for early gastric cancer: BEST-J score. Gut 2021; 70: 476-484
    Suche in Google Scholar