Hemostatic powder used as a rescue therapy

Dr. Antonino GranataAntonino Granata, MD, from the Mediterranean Institute for Transplantation and High Specialization Therapies- University of Pittsburgh Medical Center in Palermo, Italy, discusses his recently published video from the VideoGIE section of the September issue.

In this video titled “Hemostatic powder as rescue therapy in a patient with H1N1 influenza with uncontrolled colon bleeding,” a 51-year-old patient on Heparin for ECMO treatment developed severe hematochezia and anemia. Urgent colonoscopy revealed a 3cm bleeding ulcer opposite the ileocecal valve. Treatment with standard endoscopic techniques was unsuccessful. We therefore decided to use Hemospray to stop the bleeding. A 7 French catheter was advanced within 1-2cm from the bleeding source and the hemostatic powder was sprayed onto the lesion. Two consecutive applications of Hemospray created a powder barrier which successfully achieved hemostasis. No episodes of rebleeding were recorded.

Figure 1

Hemospray is a novel powder licensed for the endoscopic treatment of non-variceal upper gastrointestinal bleeding. This case aims to encourage discussion on novel indications and limitations of this novel technology.

Our video shows that Hemospray can also be successfully used as hemostatic therapy in the colon.

Watch this video here.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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