Hemostasis 101
Hemostatic Devices
On one condition
100
This term describes the process by which bleeding is stopped in the GI tract
What is hemostasis?
100
This bipolar thermal device uses electricity to coagulate tissue and control bl
eeding.
What is a Goldprobe?
100
These areas especially >2cm are a significant risk for post procedural bleeding.
What is a post-polypectomy bleed or polypectomy site?
200
The first step in the hemostatic process involves this physiological response to vessel injury.
What is vasoconstriction?
200
Two of the indications for endoscopic clipping.
What are:
1. Endoscopic marking
2. Hemostasis for: Mucosal/sub-mucosal defects <3 cm
3. Bleeding ulcers,
4. Arteries <2 mm,
5. Polyps <1.5 cm in diameter
6. Diverticula in the colon
7. Prophylactic clipping to reduce the risk of delayed bleeding post lesion resection,
8. Anchoring to affix jejunal feeding tubes to the wall of the small bowel,
9. As a supplementary method, closure of GI tract luminal perforations <20 mm that can be treated conservatively
200
This... the most common source of UGI bleeding. 
What is peptic ulcer?
300
This term refers to the failure of blood to clot due to deficiency of platelets or clotting factors.
What is coagulopathy?
300
Shown here, this device is used to appose tissue from large or irregular lesions.
What is a Mantis Clip?
300
Shown here at various grades. These can be life threatening.
What are esophageal varices?
400
This crucial question should always be asked during pre-procedural assessment to ensure patient safety, especially when planning biopsies or other interventions.
Are you taking any blood thinners or anticoagulants?
400
The Overstitch device can be used to provide ____ ____ closure of tissue.
What is Full Thickness.
400
Appearing here, usually the result of retching. 
What is a Mallory Weiss Tear?
500
What protein plays a critical role in clot formation by converting fibrinogen to fibrin? My head is THRObbing.
What is thrombin?
500
Shown here, this device's helical "tacks" are used to grasp tissue and the attached suture can be cinched to close large defects.
What is an X-Tack?
500
A dilated submucosal artery that can erode and result in a brisk bleed. They are usually found in the stomach and extra credit if you say it with a French accent.
What is a Dieulafoy's lesion?