Open AccessSuccessful treatment of life-threatening bleeding from a duodenal posterior bulb peptic ulcer by an over-the-scope-clip
Author(s) -
Thorsten Brechmann,
Wolff Schmiegel
Publication year - 2015
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v21.i5.1666
Subject(s) - duodenal bulb , medicine , hemostasis , duodenal ulcer , surgery , peptic ulcer , peptic , endoscopy , gastrointestinal bleeding , endoscopic treatment , duodenum
Bleeding of peptic ulcer at the posterior duodenal bulb still is a particular endoscopic challenge with increased risk of treatment failure and worse outcome. In this article, we report successful treatment of an actively bleeding peptic ulcer located at the posterior duodenal wall, using an over-the-scope-clip in the case of a 54-year-old male patient with hemorrhagic shock. Incident primary hemostasis was achieved and no adverse events occurred during a follow-up of 60 d.