Direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopy

Abstract In recent years, cases of diverticular bleeding have become more common. Although identifying the bleeding diverticulum is difficult, it is even more difficult to identify the exposed blood vessels in the bleeding diverticulum. We experienced a case in which we succeeded in directly observi...

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Main Authors: Kensuke Suzuki, Daisuke Kikuchi, Satoshi Yamashita
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:DEN Open
Subjects:
Online Access:https://doi.org/10.1002/deo2.70032
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author Kensuke Suzuki
Daisuke Kikuchi
Satoshi Yamashita
author_facet Kensuke Suzuki
Daisuke Kikuchi
Satoshi Yamashita
author_sort Kensuke Suzuki
collection DOAJ
description Abstract In recent years, cases of diverticular bleeding have become more common. Although identifying the bleeding diverticulum is difficult, it is even more difficult to identify the exposed blood vessels in the bleeding diverticulum. We experienced a case in which we succeeded in directly observing the exposed blood vessels of a sigmoid colon diverticulum using the ultrathin endoscope. The patient was a 71‐year‐old man who experienced rebleeding after hemostasis in the sigmoid colon by endoscopic band ligation. In the case of diverticular bleeding in the sigmoid colon, we showed that identifying exposed blood vessels by observing the diverticulum under direct vision using the ultrathin endoscope may be useful for hemostasis.
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spelling doaj-art-a62d355c755a48b69a2cabfed8ff53ce2025-08-20T02:18:56ZengWileyDEN Open2692-46092025-04-0151n/an/a10.1002/deo2.70032Direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopyKensuke Suzuki0Daisuke Kikuchi1Satoshi Yamashita2Department of Gastroenterology Toranomon Hospital Branch Kanagawa JapanDepartment of Gastroenterology Toranomon Hospital Branch Kanagawa JapanDepartment of Gastroenterology Toranomon Hospital Branch Kanagawa JapanAbstract In recent years, cases of diverticular bleeding have become more common. Although identifying the bleeding diverticulum is difficult, it is even more difficult to identify the exposed blood vessels in the bleeding diverticulum. We experienced a case in which we succeeded in directly observing the exposed blood vessels of a sigmoid colon diverticulum using the ultrathin endoscope. The patient was a 71‐year‐old man who experienced rebleeding after hemostasis in the sigmoid colon by endoscopic band ligation. In the case of diverticular bleeding in the sigmoid colon, we showed that identifying exposed blood vessels by observing the diverticulum under direct vision using the ultrathin endoscope may be useful for hemostasis.https://doi.org/10.1002/deo2.70032bleeding diverticulumendoscopic band ligationobservation of the diverticulumsigmoid colonultrathin endoscopy
spellingShingle Kensuke Suzuki
Daisuke Kikuchi
Satoshi Yamashita
Direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopy
DEN Open
bleeding diverticulum
endoscopic band ligation
observation of the diverticulum
sigmoid colon
ultrathin endoscopy
title Direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopy
title_full Direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopy
title_fullStr Direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopy
title_full_unstemmed Direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopy
title_short Direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopy
title_sort direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopy
topic bleeding diverticulum
endoscopic band ligation
observation of the diverticulum
sigmoid colon
ultrathin endoscopy
url https://doi.org/10.1002/deo2.70032
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AT daisukekikuchi directobservationofanexposedbloodvesselinacolonicdiverticulumusingultrathinendoscopy
AT satoshiyamashita directobservationofanexposedbloodvesselinacolonicdiverticulumusingultrathinendoscopy