Post written by Fernando Lander Mota, MD, from the Department of Digestive Endoscopy, Hospital Sírio-Libanês, São Paulo, Brazil.

Here we describe 4 cases where the use of cap and underwater technique was decisive in the management of gastrointestinal bleeding of different etiologies. The attachment of a simple transparent plastic cap allowed us to push aside folds and stabilize the tip of the scope improving procedure time and visualization. At the same time, the underwater technique allowed a clean and amplified visual field, improving the accuracy in the diagnosis of bleeding lesions.

Endoscopy is a medical field in which technology will always play a central role. Most of the time therapeutic endoscopists worldwide are highly dependent on expensive apparel, and that may be an issue, especially in underdeveloped countries. I believe it is important to share different, creative, and inexpensive solutions to ordinary problems.   

Most of the time we can manage complex cases using simple and inexpensive techniques. It is of key importance for us, endoscopists, to always keep the basics in mind and be creative using the tools at our disposal.

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