A novel less-invasive therapy for a bleeding eroded artery in a giant duodenal ulcer: principles and technical description

Post written by iGIE iNTERNATIONAL Associate Editor Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Instituto D’Or de Pesquisa e Ensino, Hospital Vila Nova Star, and the Gastrointestinal Endoscopy Unit, Department of Gastroenterology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Hourneaux de Moura_photo

Our study presents a novel use of endoscopic vacuum therapy (EVT).

This less-invasive therapy is associated with a high rate of clinical success in the management of GI transmural defects.

Recently, we used this approach for the management of diffuse duodenal bleeding in patients with systemic inflammatory response syndrome with satisfactory results.

Now, in this case report, we show its efficacy and safety in the management of an eroded artery in a giant duodenal ulcer.

In addition, we used a homemade EVT system that presents several advantages over the traditional sponge (polyurethane) system, such as easy placement and removal, shorter procedure time, less tissue ingrowth, and lower costs.

Therefore, EVT has the potential to become a novel hemostatic approach for the management of GI bleeding. More data are warranted to prove its safety and efficacy in this challenging scenario.

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Hourneaux de Moura_figureFirst EGD evaluation demonstrating a giant duodenal ulcer with visible vessel.

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.

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