학술논문
Use of endoscopic hand-suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device.
Document Type
Report
Author
Kondo M; Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.; Nagasue T; Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.; Torisu T; Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.; Miyazono S; Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.; Matsuno Y; Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.; Nagahata T; Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.; Hashimoto T; Department of Cardiovascular Medicine Graduate School of Medical Sciences Kyushu University Fukuoka Japan.; Fujino T; Department of Advanced Cardiopulmonary Failure Graduate School of Medical Sciences Kyushu University Fukuoka Japan.; Shiose A; Department of Cardiovascular Surgery Graduate School of Medical Sciences Kyushu University Fukuoka Japan.; Kitazono T; Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Source
Publisher: John Wiley & Sons Australia, Ltd Country of Publication: Australia NLM ID: 9918317682706676 Publication Model: eCollection Cited Medium: Internet ISSN: 2692-4609 (Electronic) Linking ISSN: 26924609 Subsets: PubMed not MEDLINE
Subject
Language
English
Abstract
We herein describe a 49-year-old man with severe heart failure due to fulminant myocarditis who underwent left ventricular assist device implantation and received clopidogrel and warfarin as antithrombotic agents. The patient developed anemia secondary to chronic bleeding gastric hyperplastic polyps, necessitating endoscopic mucosal resection. Despite attempts to manage post-endoscopic mucosal resection bleeding from a gastric ulcer by endoscopic hemostasis using hemostatic forceps, local hemostatic agents, and polyglycolic acid sheets, the bleeding persisted. Hemostasis of the refractory bleeding was finally achieved by endoscopic hand-suturing of the ulcer. One month later, the ulcer was almost completely scarred. This case has important clinical value in that it demonstrates the efficacy of endoscopic hand-suturing even in challenging cases such as refractory bleeding gastric ulcers in patients with left ventricular assist devices.
Competing Interests: None.
(© 2024 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.)
Competing Interests: None.
(© 2024 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.)