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Endoscopy 1996; 28(2): 256-258
DOI: 10.1055/s-2007-1005439
DOI: 10.1055/s-2007-1005439
Case Report
© Georg Thieme Verlag KG Stuttgart · New York
Endoscopic Hemostasis of Upper Gastrointestinal Bleeding with Histoacryl: Last Resort Before Surgery
Further Information
Publication History
Publication Date:
17 March 2008 (online)
Abstract
Five patients presented with acute upper gastrointestinal bleeding, and underwent diagnostic and therapeutic endoscopy. The source of bleeding was identified in each case. Two patients had a large chronic gastric ulcer, one had a stress ulcer, one had a gastric ulcer with hypertrophic gastropathy, and one had a malignant infiltration of the second part of the duodenum. Conventional first-line therapeutic modalities failed to induce hemostasis in these bleeding lesions. Hemostasis was successfully achieved in each case using an endoscopic intralesional injection of Histoacryl. This agent may represent a last resort for endoscopic hemostasis before surgery.