Endoscopy
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See the full rubric →Clinical outcomes of incomplete diverticular inversion after endoscopic band ligation for colonic diverticular bleeding.
Clinical takeawayWhen performing EBL for colonic diverticular bleeding, prioritize achieving complete inversion to reduce rebleeding risk. Indirect clipping may be considered if complete inversion is difficult, but its rebleeding rate (44.3%) was not significantly different from incomplete inversion.
What it foundIncomplete inversion after EBL was associated with 37.8% 30-day rebleeding vs 10.9% with complete inversion (adjusted OR 4.25, 95% CI 2.07-8.73).
ContextConfirms the importance of complete inversion in EBL for CDB, which was previously assumed but not quantified. Indirect clipping's efficacy compared to incomplete inversion remains inconclusive.
No standard claimed for this paper
Every paper is compared to the standard governing its question. This one is not: either no standard in the corpus matches it, or the comparison did not hold up on review and was withdrawn rather than published unverified. Both are logged.
Ichita C … Hattori T · Gastrointestinal Endoscopy · IF 8.0 · PubMed ↗