Reviewer's report
Title:Cap-assisted Hemoclip Application with Forward-viewing Endoscope for
Hemorrhage induced by Endoscopic Sphincterotomy: A Prospective Case Series
Study
Version:1Date:24 July 2015
Reviewer: Jeremie M JACQUES
Reviewer's report:
Dear Authors,
bleeding after ES is is a common complication with no recent therapeutic
advance outside the hemostatic powder.
The difficulty of the use of clips with lateral-viewing endoscope is real but new
clips without plastic sheath (Instinct clip, COOK Medical) are much easier to use.
Moreover, with the Resolution Clip (Boston Scientific), removing the plastic
sheath allows for ease of handling when lesions require torquing, retroflexion of
the scope or with duodenoscope.
In our experience with Instinct clips or with Boston clips without the plastic
sheath, it's very rare than the clip could not be adequately positionned.
Using a forward viewing endoscope with a transparent cap seems to be
interesting. Transparent caps are very useful useful for both diagnostic and
therapeutic procedures but the difficulty in post ES bleeding with forward viewing
endscopes is the difficulty of correctly be positioned in front of the bleeding. I am
not sure that the transparent cap considerably changes this kind of difficulty.
To conclude, results that are presented are very interested but it lacks a clear
explanation of the benefit of this technique in the discussion.
Level of interest: An article of limited interest
Quality of written English: Needs some language corrections before being
published
Statistical review: Yes, but I do not feel adequately qualified to assess the
statistics.
Declaration of competing interests:
No conflict of interest with this paper
Reviewer's report
Title:Cap-assisted Hemoclip Application with Forward-viewing Endoscope for
Hemorrhage induced by Endoscopic Sphincterotomy: A Prospective Case Series
Study
Version:1Date:24 July 2015
Reviewer: Jeremie M JACQUES
Reviewer's report:
Dear Authors,
bleeding after ES is is a common complication with no recent therapeutic
advance outside the hemostatic powder.
The difficulty of the use of clips with lateral-viewing endoscope is real but new
clips without plastic sheath (Instinct clip, COOK Medical) are much easier to use.
Moreover, with the Resolution Clip (Boston Scientific), removing the plastic
sheath allows for ease of handling when lesions require torquing, retroflexion of
the scope or with duodenoscope.
In our experience with Instinct clips or with Boston clips without the plastic
sheath, it's very rare than the clip could not be adequately positionned.
Using a forward viewing endoscope with a transparent cap seems to be
interesting. Transparent caps are very useful useful for both diagnostic and
therapeutic procedures but the difficulty in post ES bleeding with forward viewing
endscopes is the difficulty of correctly be positioned in front of the bleeding. I am
not sure that the transparent cap considerably changes this kind of difficulty.
To conclude, results that are presented are very interested but it lacks a clear
explanation of the benefit of this technique in the discussion.
Level of interest: An article of limited interest
Quality of written English: Needs some language corrections before being
published
Statistical review: Yes, but I do not feel adequately qualified to assess the
statistics.
Declaration of competing interests:
No conflict of interest with this paper
Please review this paper.
user
Reviewer's report
Title:Cap-assisted Hemoclip Application with Forward-viewing Endoscope for
Hemorrhage induced by Endoscopic Sphincterotomy: A Prospective Case Series
Study
Version:1Date:24 July 2015
Reviewer: Jeremie M JACQUES
Reviewer's report:
Dear Authors,
bleeding after ES is is a common complication with no recent therapeutic
advance outside the hemostatic powder.
The difficulty of the use of clips with lateral-viewing endoscope is real but new
clips without plastic sheath (Instinct clip, COOK Medical) are much easier to use.
Moreover, with the Resolution Clip (Boston Scientific), removing the plastic
sheath allows for ease of handling when lesions require torquing, retroflexion of
the scope or with duodenoscope.
In our experience with Instinct clips or with Boston clips without the plastic
sheath, it's very rare than the clip could not be adequately positionned.
Using a forward viewing endoscope with a transparent cap seems to be
interesting. Transparent caps are very useful useful for both diagnostic and
therapeutic procedures but the difficulty in post ES bleeding with forward viewing
endscopes is the difficulty of correctly be positioned in front of the bleeding. I am
not sure that the transparent cap considerably changes this kind of difficulty.
To conclude, results that are presented are very interested but it lacks a clear
explanation of the benefit of this technique in the discussion.
Level of interest: An article of limited interest
Quality of written English: Needs some language corrections before being
published
Statistical review: Yes, but I do not feel adequately qualified to assess the
statistics.
Declaration of competing interests:
No conflict of interest with this paper
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