GI Bleeding Basics
Thermal Hemostasis
Hemostasis Tools and Techniques
Clips and Clinical Evidence
Final Jeopardy
100

This is the most common cause of upper GI bleeding.

What is Peptic Ulceration 

100

MPEC stands for this type of electrocautery.

What is Multipolar Electrocautery 

100

This technique is established as standard therapy for bleeding esophageal varices.

what is endoscopic banding 

100

TTS endoscopic clips achieve hemostasis through mechanical approximation of tissue followed by this effect.

What is Tamponade 

200

Approximately this many acute GI bleeding hospital admissions occur annually in the U.S.

What is 500,000+ acute GI Bleeding hospital admissions annually in the US

200

Unlike monopolar devices, an Multipolar Electrocautery probe does not require this.

What is Return Pad 

200

njection needles used for endoscopic hemostasis typically range from this gauge to this gauge.

What is 19-25 gauge 

200

The three main components of a TTS clip system are the metallic double-pronged clip, delivery catheter, and ___________.

What is the Handle 

300

This disease is the most common cause of lower GI bleeding

What is Diverticular Disease

300

This non-contact thermal device uses ionized argon gas to conduct high-frequency monopolar current to target tissue.

What is Argon Plasma Coagulation 

300

According to the deck, combining epinephrine injection with another endoscopic therapy is superior to this approach.

What is epinephrine monotherapy 

300

In the study presented, delayed hemorrhage occurred in 9.7% of the non-clipped group but only this percentage of the fully clipped group.

What is 1.8%

400

When direct endoscopy is non-diagnostic, this procedure should be performed as soon as possible to identify the bleeding site or lesion.

What is Wireless capsule endoscopy 

400

APC is well suited for superficial treatment because its coagulation penetrates tissue to only approximately this depth.

What is a few millimeters

400

This technology uses an auditory signal to help identify the presence and course of bleeding vessels.

What is an endoscopic doppler probe 

400

According to the study, polyps that were not clipped were this many times more likely to rebleed.

What is 6 times 

500

A physician needs to close a GI defect. Name these three Boston Scientific devices in order.


Device A:  allows the physician to customize the suture pattern, has some anatomy limitations, but will provide watertight, full thickness closure. 

Device B: is a through-the-scope clip that uses proprietary technology to support an Anchor, Mobilize, Close approach 1for large defects and eliminates "clip slip" for small defects in difficult locations.  

Device C:  through-the-scope device that uses four tacks and a suture for multiple fixation points.

Device A:  Overstitch Endoscopic Suturing System 

Device B:  Mantis TTS Closure Device 

Device C:  XTack TTS Suturing System