Experience of Manual Compression Hemostasis Under Endoscopic Observation for Acute Hemorrhagic Rectal Ulcer.
Acute hemorrhagic rectal ulcer
Endoscopy
Manual compression hemostasis
Journal
Gastroenterology research
ISSN: 1918-2805
Titre abrégé: Gastroenterology Res
Pays: Canada
ID NLM: 101519422
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
15
02
2019
accepted:
14
03
2019
entrez:
26
4
2019
pubmed:
26
4
2019
medline:
26
4
2019
Statut:
ppublish
Résumé
We experienced two cases in which manual compression hemostasis under endoscopic observation was used in patients with acute hemorrhagic rectal ulcer (AHRU). The patients experienced an episode of massive fresh hematochezia, requiring the blood transfusion. Emergent sigmoidoscopy revealed multiple ulcers with a large protuberant visible vessel or with gush-out hemorrhage on the lower rectum. Endoscopic hemostasis by hemoclips and hypertonic saline-epinephrine injection was attempted; however, mechanical mucosal injury induced by hemoclips and needles caused another gush-out hemorrhage. Thus, the site of bleeding was manually compressed by a forefinger under endoscopic observation. After 5 min, compression hemostasis was achieved, and the postoperative course was uneventful. Manual compression hemostasis under endoscopic observation is useful and worth attempting for AHRU.
Identifiants
pubmed: 31019623
doi: 10.14740/gr1162
pmc: PMC6469901
doi:
Types de publication
Case Reports
Langues
eng
Pagination
107-110Déclaration de conflit d'intérêts
The authors declare that they have no conflict of interest.
Références
Dis Colon Rectum. 2004 Jun;47(6):895-903; discussion 903-5
pubmed: 15129312
Dis Colon Rectum. 2006 Feb;49(2):238-43
pubmed: 16465586
J Gastroenterol. 2006 Oct;41(10):962-70
pubmed: 17096065
Colorectal Dis. 2010 Oct;12(10 Online):e320-5
pubmed: 19863598
Colorectal Dis. 2013 Jul;15(7):878-84
pubmed: 23375083