Endoscopic hemostasis, also spelled haemostasis, is used to identify and control bleeding within the gastrointestinal tract.
The bleeding source is visualized directly and treated using endoscopic techniques.
What is endoscopic hemostasis?
Endoscopic hemostasis is performed to stop active GI bleeding or reduce the risk of rebleeding
in the esophagus, stomach, duodenum, or colon.
It is commonly carried out during urgent or emergency endoscopy.
The procedure allows direct identification of the bleeding source,
enabling immediate treatment during the same endoscopic examination when appropriate.
Conditions that may require hemostasis
- Bleeding from gastric or duodenal ulcers
- Esophageal or gastric varices
- Bleeding after endoscopic procedures
- Colonic diverticular bleeding
- Gastrointestinal bleeding associated with anemia of unclear source
Indication is determined based on clinical condition and endoscopic findings.
How bleeding is controlled
Hemostasis is achieved using techniques such as clipping,
coagulation, or local injection therapy.
The method is selected based on the bleeding site,
severity, and underlying cause.
More than one technique may be used when required to achieve stable control.
After the procedure
Patients are monitored for rebleeding or complications.
Additional treatment or hospitalization may be required depending on the cause.
Follow-up endoscopy or further evaluation may be arranged when necessary.
Frequently asked question
What is the difference between endoscopy and endoscopic hemostasis?
Endoscopy is an examination that allows doctors to view the inside of the digestive tract.
Endoscopic hemostasis is treatment performed during endoscopy to control active bleeding
or reduce the risk of further bleeding.
The need for hemostasis depends on the bleeding site, endoscopic findings, and the patient’s overall condition.
Urgent symptoms
Gastrointestinal bleeding may require urgent medical care.
Please seek emergency care immediately if you have symptoms such as vomiting blood,
black stools, bloody stools, fainting, or severe dizziness.
Emergency care is provided according to the patient’s condition and hospital capacity at the time of arrival.
Appointment
Appointments are required in principle.
A referral letter from another medical institution is recommended but not mandatory.
For appointment requests and language support, please see the
Gastroenterology page.