PMC4748185_01
Bright red blood and multiple diverticula on the descending colon.
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F1
A full colonoscopy with ileoscopy revealed bright red blood through the entire colon and multiple diverticula in the descending and sigmoid colon (Figure 1).
Endoclip placed next to the bleeding diverticulum.
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F2
After marking the bleeding site with an endoclip, the colonoscope was removed (Figure 2).
Bleeding diverticulum before suction and ligation with the bandligator device attached to the tip of the endoscope.
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F3
A gastroscope (GIF-Q165, Olympus , Center Valley, PA) with a conventional band-ligator device (Speedband Superview Super, Boston Scientific , Marlborough, MA) attached to the tip was used to suction and invert the bleeding diverticulum (Figure 3).
Bleeding diverticulum everted after successful band ligation.
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F4
An elastic band was released around its neck, achieving immediate hemostasis (Figure 4).