Active gastrointestinal bleeding:Use of hemostatic forceps beyond endoscopic submucosal dissection

查看全文 作　　者：Dimitri [1]Coumaros;Niki [1]Tsesmeli 机构地区：[1]Department of Hepatogastroenterology,University Hospital of Strasbourg 出　　处：《World Journal of Gastroenterology》索引2010年第16卷第16期,共4页 摘　　要：To the best of our knowledge,this is the f irst report of the application of hemostatic forceps in active gastrointestinal(GI) bleeding that is not related to endoscopic submucosal dissection.An 86-year-old woman with chronic intake of low-dose aspirin had a Dieulafoy's lesion of the third duodenal portion.Bleeding control with epinephrine injection was unsuccessful.A 60-year-old man presented with a bleeding ulcer in the duodenal bulb.Ten days after combined endotherapy,he had recurrent bleeding from two minimal lesions in the same location.A 66-year-old woman under combined antithrombotic treatment was referred to us for chronic GI bleeding of unexplained origin.Endoscopy revealed active diverticular bleeding in the second duodenal portion.A 61-year-old woman underwent endoscopic mucosal resection of superficial gastric adenocarcinoma,which was complicated with immediate bleeding.In all cases,the blood was washed out using a water-jet-equipped,single-channel gastroscope with a large working channel.The bleeding points were pinched and retracted with hemostatic forceps.Monopolar electrocoagulation was performed using an electrosurgical current generator.Hemostasis was achieved.No complications occurred.In conclusion,hemostatic forceps may be an effective as well as safe alternative approach for active GI bleeding of various origins. 关 键 词：HEMOSTASIS FORCEPS Blood coagulation HEMORRHAGE Endoscopic submucosal dissection