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An endoclip is a metallic mechanical device used in endoscopy in order to close two mucosal surfaces without the need for surgery and suturing. Its function is similar to a suture in gross surgical applications, as it is used to join together two disjointed surfaces, but, can be applied through the channel of an endoscope under direct visualization
Before the procedure, the physician might ask the patient to stop taking certain medications including blood thinners, aspirin, diabetes medications, or nonsteroidal anti-inflammatory drugs. A bowel prep is usually taken the night before and into the morning of the procedure which consists of an enema or laxatives , either pills or powder ...
A number of medications may improve outcomes depending on the source of the bleeding. [15] Proton pump inhibitor medications are often given in the emergent setting before an endoscopy and may reduce the need for an endoscopic haemotstatic treatment. [16] Proton pump inhibitors decrease gastric acid production. [16]
Deprescribing is a process of tapering or stopping medications to achieve improved health outcomes by reducing exposure to medications that are potentially either harmful or no longer required. [1] Deprescribing is important to consider with changing health and care goals over time, as well as polypharmacy and adverse effects . [ 2 ]
Medications typically include octreotide or, if not available, vasopressin and nitroglycerin to reduce portal venous pressures. [13] Terlipressin appears to be more effective than octreotide, but it is not available in many areas of the world. [16] [30] It is the only medication that has been shown to reduce mortality in acute variceal bleeding ...
Patients who wish to come off the drugs permanently should first agree with their doctor whether it is right to stop taking the medication, and, if so, the speed and duration of withdrawal from it ...
Medication discontinuation is the ceasing of a medication treatment for a patient by either the clinician or the patient themself. [1] [2] When initiated by the clinician, it is known as deprescribing. [3] Medication discontinuation is an important medical practice that may be motivated by a number of reasons: [4] [3] Reducing polypharmacy
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