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Successful Endoscopic Band Ligation for Treatment of Postpolypectomy Hemorrhage
Author(s) -
Mizuta Yohei,
Yamakawa Masaki,
Isomoto Hajime,
Takeshima Fuminao,
Murase Kunihiko,
Irie Jyunji,
Kawai Kioko,
Murata Ikuo,
Kohno Shigeru
Publication year - 2000
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1046/j.1443-1661.2000.00077.x
Subject(s) - medicine , polypectomy , ligation , hemostasis , surgery , lesion , endoscopy , adenoma , argon plasma coagulation , stomach , radiology , colonoscopy , cancer , colorectal cancer , gastroenterology
We describe a case of large pedunculated tubulovillous adenoma of the stomach associated with postpolypectomy hemorrhage, which was successfully treated by endoscopic band ligation. The case study involved a 60‐year‐old Japanese woman with a pedunculated polyp with a slightly lobular surface, measuring 25 mm in diameter. It was detected on the posterior wall of the middle body of the gastric remnant. The lesion was diagnosed as a tubulovillous adenoma by a biopsy specimen and treated by endoscopic polypectomy using the detachable snare to prevent postpolypectomy hemorrhage. There was no episode of immediate postpolypectomy hemorrhage, but hematemesis occured 18 h after the excision. Endoscopic examination of the stomach showed the mark left by bleeding on the cutting surface and the absence of the detachable snare. Endoscopic intervention by rubber band ligation was performed to prevent the recurrent bleeding. Complete hemostasis was obtained and no serious complications occured.