Open Access
Open access
Wiley
JGH Open
,  volume 8 ,  issue 6 ,  publication number e13099

Usefulness of a long hood for the detection of bleeding sites in colonic diverticular hemorrhage: A randomized controlled trial

Rie Shiomi 1
, 
Junko Nagata 2
, 
Yoshikazu Tsuzuki 1, 3
, 
Masashi YOKOTA 2
, 
Hisashi Matsumoto 1
, 
Kazuya Miyaguchi 1, 3
, 
Hideki Ohgo 1, 3
, 
Shingo Tsuda 2
, 
Hiroyuki Ito 2
, 
Seiichiro Kojima 2
, 
Nobutaka Hirooka 1
, 
Hidetomo Nakamoto 1
, 
Takayoshi Suzuki 2
, 
Hiroyuki Imaeda 1, 3
1
 
2
 
3
 
Publication type: Journal Article
Publication date: 2024-06-19
Wiley
scimago Q3
wos Q4
SJR: 0.481
CiteScore: 3.4
Impact factor: 1.5
ISSN: 23979070
DOI:  10.1002/jgh3.13099
PubMed ID:  38903485
Abstract
Background and Aim

The use of a hood at the tip of a colonoscope enables aspiration, inversion of the diverticulum, and observation of the inside of the diverticulum. In most previous studies, a short hood was used; however, observation of the diverticulum is often inadequate. Long food is promising by previous research, but it was a retrospective study using propensity matching and has some limitations. We compared the identification rate of stigmata of recent hemorrhage (SRH) between the long and standard hoods in cases of suspected colonic diverticular hemorrhage (CDH) to confirm the usefulness of long hood by prospective randomized controlled trial.

Methods

Eighty patients (42 in the long hood group [L group] and 38 in the short hood group [S group]) who visited the Saitama Medical University Hospital and Tokai University Hachioji Hospital between December 2018 and July 2021 with a chief complaint of bloody stool and suspected CDH, based on the clinical course and imaging studies, were included. Patients were randomly assigned to the L or S group.

Results

Regarding patient background, age was significantly higher in the L group; however, no significant differences were found in medical history or history of antithrombotic medication or nonsteroidal anti‐inflammatory drug use. Identification rate of SRH was significantly higher in the L group (58.5%, 24/42 patients) than in the S group (26.3%, 10/38 patients) (P < 0.05). All patients were treated using the clip method, and the rate of rebleeding within 1 month was not significantly different between the two groups.

Conclusion

A long hood was more useful compared with a short hood in identifying SRH of CDH (UMIN000034603).

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Shiomi R. et al. Usefulness of a long hood for the detection of bleeding sites in colonic diverticular hemorrhage: A randomized controlled trial // JGH Open. 2024. Vol. 8. No. 6. e13099
GOST all authors (up to 50) Copy
Shiomi R., Nagata J., Tsuzuki Y., YOKOTA M., Matsumoto H., Miyaguchi K., Ohgo H., Tsuda S., Ito H., Kojima S., Hirooka N., Nakamoto H., Suzuki T., Imaeda H. Usefulness of a long hood for the detection of bleeding sites in colonic diverticular hemorrhage: A randomized controlled trial // JGH Open. 2024. Vol. 8. No. 6. e13099
RIS |
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RIS Copy
TY - JOUR
DO - 10.1002/jgh3.13099
UR - https://onlinelibrary.wiley.com/doi/10.1002/jgh3.13099
TI - Usefulness of a long hood for the detection of bleeding sites in colonic diverticular hemorrhage: A randomized controlled trial
T2 - JGH Open
AU - Shiomi, Rie
AU - Nagata, Junko
AU - Tsuzuki, Yoshikazu
AU - YOKOTA, Masashi
AU - Matsumoto, Hisashi
AU - Miyaguchi, Kazuya
AU - Ohgo, Hideki
AU - Tsuda, Shingo
AU - Ito, Hiroyuki
AU - Kojima, Seiichiro
AU - Hirooka, Nobutaka
AU - Nakamoto, Hidetomo
AU - Suzuki, Takayoshi
AU - Imaeda, Hiroyuki
PY - 2024
DA - 2024/06/19
PB - Wiley
IS - 6
VL - 8
PMID - 38903485
SN - 2397-9070
ER -
BibTex
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@article{2024_Shiomi,
author = {Rie Shiomi and Junko Nagata and Yoshikazu Tsuzuki and Masashi YOKOTA and Hisashi Matsumoto and Kazuya Miyaguchi and Hideki Ohgo and Shingo Tsuda and Hiroyuki Ito and Seiichiro Kojima and Nobutaka Hirooka and Hidetomo Nakamoto and Takayoshi Suzuki and Hiroyuki Imaeda},
title = {Usefulness of a long hood for the detection of bleeding sites in colonic diverticular hemorrhage: A randomized controlled trial},
journal = {JGH Open},
year = {2024},
volume = {8},
publisher = {Wiley},
month = {jun},
url = {https://onlinelibrary.wiley.com/doi/10.1002/jgh3.13099},
number = {6},
pages = {e13099},
doi = {10.1002/jgh3.13099}
}