Band Ligation

Ligation of hemorrhoids is a proved, simple, and inexpensive treatment method (Fig. 20.29).

Endoscopic Hemoclip

Fig. 20.24 Loading and deploying a hemo-clip (Olympus).

a The clip is hung on the applicator's extended hook. b Next the clip is drawn into the applicator sheath, thereby closing the clip. The applicator is then advanced through the working channel of the endoscope. c When the tip of the applicator is protruding from the endoscope the clip is advanced. The clip opens on leaving the applicator sheath. d The clip is then opened at the instrument handle. Preloaded disposable clip applicators are also available (images provided courtesy of Olympus).

- 0 20.2 Endoscopic hemoclip application

- 0 20.2 Endoscopic hemoclip application

Sygmoid Colon

b Visible vessel after washing off the clot. c

Blood clot at a polypectomy site in the ascending colon.

b Visible vessel after washing off the clot. c

The opened hemoclip (Olympus) is advanced to the polypectomy site.

d The opened hemoclip is gently placed on the visible vessel.

Sigmoid Colon Constipation
e The clip is closed on the visible vessel.
Anal Sphincter Defect

f The clip has been closed and is released from the applicator. The hemoclip seals the visible vessel at the polypectomy site.

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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