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Endoscopic band ligation for postpolypectomy gastric bleeding
Author(s) -
TOMIYAMA RYOSAKU,
KINJO FUKUNORI,
HOKAMA AKIRA,
MIYAGI TSUYOSHI,
NAKASONE HIROKI,
KINJO NAGISA,
SAKUGAWA HIROSHI,
SAITO ATSUSHI
Publication year - 2003
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.1443-1661.2003.00230.x
Subject(s) - medicine , ligation , hemostasis , polypectomy , gastric polyp , endoscopy , surgery , colonoscopy , lesion , anemia , cancer , colorectal cancer
We report a case of a patient in whom endoscopic band ligation was achieved for postpolypectomy gastric bleeding. A 76‐year‐old man visited our hospital because of anemia. Endoscopy revealed a gastric polyp, approximately 12 mm in diameter, on the lesser curvature in the distal gastric body. The polyp was considered to be the source of chronic anemia and was therefore removed by using standard careful snare‐cautery polypectomy technique. Four days later, follow‐up endoscopy was performed to evaluate the postpolypectomy site, and an active bleeding postpolypectomy ulcer was identified. Initial attempts to achieve hemostasis with ethanol injection were unsuccessful. Immediate hemostasis was obtained with a subsequent endoscopic band ligation device. There has been no recurrent bleeding. Endoscopic band ligation might be a good treatment modality for the treatment of a postpolypectomy gastric bleeding lesion.