Post written by Lorenzo Fuccio, MD, and Vito Sansone, MD, from the Gastroenterology Unit, Department of Medical and Surgical Sciences, S. Orsola-Malpighi University Hospital, Bologna, Italy. The patient we described is a 87-year old woman, diagnosed with a Klatskin cholangiocarcinoma which was unsuitable for curative treatments, whom obtained a complete biliary drainage only after positioning …
Continue reading Hemostatic powder for the intraductal treatment of biliary cancer bleeding
Post written by Stuart K. Amateau, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Gastrointestinal bleeding is a leading cause of morbidity and mortality in the United States and occasionally patients exhibit refractory bleeding despite standard endoscopic therapy. Although used internationally for the …
Continue reading Alternative approach to hemostatic particle spraying for treatment of GI bleeding
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. The authors present 3 consecutive cases of diffusely ulcerated esophagus with clinically significant bleeding. The first 2 cases failed conventional hemostatic treatment including clipping and injection therapy. In the third case, hemospray …
Continue reading Hemospray hemostasis in bleeding diffusely ulcerated esophagus
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. …
Continue reading Use of hemostatic powder in bleeding portal hypertensive gastropathy
Post written by Rohit Sinha, MBBS, MRCP, PgDip, from the Royal Infirmary and The University of Edinburgh, Edinburgh, United Kingdom. We wanted to evaluate the efficacy of Hemospray in conjunction with established hemostatic endo-therapy in a high-risk nonvariceal upper GI bleeding setting. There was no evidence about the efficacy and outcome of combination therapy (Hemospray …
Continue reading The use of hemostatic spray as an adjunct to conventional hemostatic measures
Mostafa Ibrahim, MD, from the Theodor Bilharz Research Institute in Cairo, Egypt, discusses his New Methods article titled "Endoscopic treatment of acute variceal hemorrhage by using hemostatic powder TC-325: a prospective pilot study" from the November issue. Emergency endoscopic treatment for acute variceal bleeding (AVB) sometimes cannot be offered in every center because of the …
Continue reading New method reported using hemostatic powder to treat acute variceal bleeding
Antonino 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 …
