Post written by Sauid Ishaq, FRCP, from Birmingham City University, Birmingham, United Kingdom.
Our video case report demonstrates the application and effectiveness of hemospray as a rescue therapy in acute bleeding from portal hypertensive gastropathy.
PHG is a common and potentially fatal adverse event of cirrhosis, with severity correlating with the degree of portal hypertension. There is limited evidence supporting the role of nonselective b-blockers (NSBB) and terlipressin for bleeding PHG failing that transjugular intrahepatic portosystemic shunt (TIPS) is considered. Acute bleeding really poses a challenge.
Our video case report demonstrates the ease of application and effectiveness of hemospray in this situation, potentially revolutionizing the endoscopic management of bleeding PHG.
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