Endoscopic direct clipping versus indirect clipping for colonic diverticular bleeding: A large multicenter cohort study.

In contrast, in patients without active bleeding, multivariate analysis revealed that direct clipping was associated with significantly lower rates of early and late rebleeding (both p < 0.05) and marginally significant lower rates of blood transfusion requirement and IVR need during hospitalization (both p < 0.1).

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The model included age ≥70 years, sex, and factors found to have at least borderline significance ( p < 0.10) on univariate analysis, namely, heart rate ≥100 bpm, hemoglobin <12 g/dl, platelets <15 × 10 4 /μL, modified CCI ≥2, use of anticoagulant, extravasation on CT, active bleeding, use of endoscopic distal attachment cap, and use of water‐jet scope.

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