Year 2023 / Volume 115 / Number 3
Letter
A full hemostatic repertoire in a complex cirrhotic patient

145-146

DOI: 10.17235/reed.2022.9039/2022

Maria Manuela Estevinho, Rolando Pinho, Edgar Afecto, João Correia, Teresa Freitas,

Abstract
A 55-year-old woman with cirrhosis was admitted for acute decompensation caused by portal vein thrombosis. Ten days later, the patient presented melena. Esophagogastroscopy revealed two gastric polyps, both with bleeding stigmata. One of the polyps was removed with a diathermic loop, after adrenalin injection, while in the other the "ligate and let go" technique was applied, after biopsy. A “metallic tulip-bundle” technique, combining through the scope and over-the-scope clips, was applied for hemostasis. This case underlines how the combination of various endoscopic techniques may be useful to manage upper gastrointestinal bleeding, especially in patients with important comorbidities.
Share Button
New comment
Comments
No comments for this article
References
1. Galante A, De Gottardi A. Portal vein thrombosis: an overview of current treatment options. Acta Gastroenterol Belg. 2021 Apr-Jun;84(2):327-332. doi: 10.51821/84.2.327.
2. Veitch AM, Radaelli F, Alikhan R, Dumonceau JM, Eaton D, Jerrome J, Lester W, Nylander D, Thoufeeq M, Vanbiervliet G, Wilkinson JR, Van Hooft JE. Endoscopy in patients on antiplatelet or anticoagulant therapy: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guideline update. Gut. 2021 Sep;70(9):1611-1628. doi: 10.1136/gutjnl-2021-325184.
3. Ponte, A., Pinho, R., Vale, S., Fernandes, C., Ribeiro, I., Silva, J., & Carvalho, J. (2015). Resection of a large ileal lipoma exhibiting ball-valve prolapse into the cecum with a "grasp-to-retract, ligate, unroof, and let-go" technique. Endoscopy, 47 Suppl 1 UCTN, E215–E216. https://doi.org/10.1055/s-0034-1391824
4. Gomes C, Pinho R, Afecto E, Correia J, Estevinho M, Carvalho J. "Metallic tulip bundle" technique as rescue hemostatic therapy after endoscopic mucosal resection of a gastric lesion. Indian J Gastroenterol. 2022 Jan 4. doi: 10.1007/s12664-021-01203-6.
Related articles

Letter

Hemostasis of a bleeding inverted colonic diverticulum

DOI: 10.17235/reed.2022.9019/2022

Digestive Diseases Image

Bezoar: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2021.8311/2021

Letter

COVID-19 and aorto-enteric fistula

DOI: 10.17235/reed.2021.8272/2021

Letter to the Editor

Gangliocytic paraganglioma: an unusual cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2017.4808/2016

Case Report

Downhill varices: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2015.3697/2015

Citation tools
Estevinho M, Pinho R, Afecto E, Correia J, Freitas T. A full hemostatic repertoire in a complex cirrhotic patient. 9039/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 593 visits.
This article has been downloaded 61 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 28/06/2022

Accepted: 28/06/2022

Online First: 06/07/2022

Published: 07/03/2023

Article Online First time: 8 days

Article editing time: 252 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology