With the popularization of health check ups and gastrointestinal endoscopy technology, endoscopic polyp treatment has been increasingly carried out in major medical institutions. According to the size and depth of the wound after polyp treatment, endoscopists will choose appropriate wound hemoclips to prevent bleeding after treatment.
Part01 What is a 'hemoclip'?
Hemoclip refers to a consumable used for local wound hemostasis, including the clip part (the actual part that functions) and the tail (the auxiliary release clip). The hemoclip mainly plays a closing role by clamping blood vessels and surrounding tissues to achieve hemostasis. The principle of hemostasis is similar to surgical vascular suturing or ligation, and it is a mechanical method that does not cause coagulation, degeneration, or necrosis of mucosal tissue. In addition, hemoclips have the advantages of non toxicity, light weight, high strength, and good biocompatibility, and are widely used in polypectomy, endoscopic submucosal dissection (ESD), bleeding hemostasis, other endoscopic closure procedures, and auxiliary positioning. Due to the risk of delayed bleeding and perforation after polypectomy and ESD surgery, endoscopists will provide titanium clips to close the wound according to the intraoperative situation to prevent complications.
Part02 Commonly used hemoclips in clinical practice: metal titanium clips
Metal titanium clamp: made of titanium alloy material, including two parts: clamp and clamp tube. The clamp has a clamping effect and can effectively prevent bleeding. The function of the clamp is to make it more convenient to release the clamp. Using negative pressure suction to promote wound contraction, then quickly closing the metal titanium clip to clamp the bleeding site and blood vessels. Using a titanium clip pusher through endoscopic forceps, metal titanium clips are placed on both sides of the ruptured blood vessel to maximize the opening and closing of the titanium clip. The pusher is rotated to make vertical contact with the bleeding site, slowly approaching and gently pressing the bleeding area. After the wound shrinks, the operating rod is quickly retracted to lock the metal titanium clip, tightened and released.
Part03 What should you pay attention to when wearing a hemoclip?
Diet
According to the size and quantity of the wound, follow the doctor's advice and gradually transition from liquid diet to semi liquid and regular diet. Avoid coarse fiber vegetables and fruits within 2 weeks, and avoid spicy, rough, and stimulating foods. Do not eat foods that change the color of stool, such as dragon fruit, animal blood, or liver. Control the amount of food, maintain smooth bowel movements, prevent constipation from causing increased abdominal pressure, and use laxatives if necessary.
Rest and activity
Getting up and moving around can easily cause dizziness and bleeding from the lesion. It is recommended to reduce activity after treatment, rest in bed for at least 2-3 days after surgery, avoid vigorous exercise, and guide the patient to engage in moderate aerobic exercise, such as walking, after their symptoms and signs stabilize. It is best to do 3-5 times a week, avoid prolonged sitting, standing, walking, and vigorous exercise within a week, maintain a happy mood, do not cough or hold your breath forcefully, do not get emotionally excited, and avoid straining to defecate. Avoid physical activity within 2 weeks after surgery.
Self observation of titanium clip detachment
Due to the formation of granulation tissue in the local area of the lesion, the metal titanium clip can fall off on its own 1-2 weeks after surgery and be excreted through the intestine with feces. If it falls off too early, it can easily lead to bleeding again. Therefore, it is important to observe whether you have persistent abdominal pain and bloating, and observe the color of your stool. Patients do not need to worry about whether the titanium clip has come off. They can observe the detachment of the titanium clip through X-ray abdominal plain film or endoscopic review. But some patients may have titanium clips left in their bodies for a long time or even 1-2 years after polypectomy, in which case they can be removed under endoscopy according to the patient's wishes.
Part04 Will hemoclips affect CT/MRI examination?
Due to the fact that titanium clips are a non ferromagnetic metal, and non ferromagnetic materials do not undergo or only undergo slight movement and displacement in a magnetic field, their stability in the human body is very good, and they do not pose a threat to the examiner. Therefore, titanium clips will not be affected by magnetic fields and will not fall off or displace, causing damage to other organs. However, pure titanium has a relatively high density and may produce small artifacts in magnetic resonance imaging, but it will not affect the diagnosis!
We, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., is a manufacturer in China specializing in the endoscopic consumables, such as biopsy forceps, hemoclip, polyp snare, sclerotherapy needle, spray catheter, cytology brushes, guidewire, stone retrieval basket, nasal biliary drainage catheter etc. which are widely used in EMR, ESD, ERCP. Our products are CE certified, and our plants are ISO certified. Our goods have been exported to Europe, North America, Middle East and part of Asia, and widely obtains the customer of the recognition and praise!
Post time: Aug-23-2024