The Bump Trick for Hemostasis (and Closure of Mucosal Defects)

The Bump Trick for Hemostasis (and Closure of Mucosal Defects)

By Klaus Mönkemüller, MD, PhD, FASGE, FJGES and Joel Joseph, MD

Virginia Tech Carilion School of Medicine, Virginia, USA

image via endocollab.com

Often, bleeding lesions are located on the right (Panel A), as in this case of gastric ulcer located in the distal antrum. Many gastroscopes have the working channel on the LEFT (Panel B, green arrow), which makes a targeted delivery of the clip or injection difficult. What are our options to overcome this problem?

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