Use of hemostatic powder in bleeding portal hypertensive gastropathy

Ishaq_headshotPost 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.

Read the full article online.

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.

2 thoughts on “Use of hemostatic powder in bleeding portal hypertensive gastropathy

  1. Alex-G

    Congratulations to the authors of this very informative video.

    Hemostatic powder was probably a temporary solution ? Did the patient received TIPS for a permanent hemostasis control ?

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