Use of endoscopic hand‐suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device
Abstract We herein describe a 49‐year‐old man with severe heart failure due to fulminant myocarditis who underwent left ventricular assist device implantation and received clopidogrel and warfarin as antithrombotic agents. The patient developed anemia secondary to chronic bleeding gastric hyperplast...
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| Format: | Article |
| Language: | English |
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Wiley
2024-04-01
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| Series: | DEN Open |
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| Online Access: | https://doi.org/10.1002/deo2.369 |
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| author | Masahiro Kondo Tomohiro Nagasue Takehiro Torisu Satoshi Miyazono Yuichi Matsuno Takahisa Nagahata Toru Hashimoto Takeo Fujino Akira Shiose Takanari Kitazono |
| author_facet | Masahiro Kondo Tomohiro Nagasue Takehiro Torisu Satoshi Miyazono Yuichi Matsuno Takahisa Nagahata Toru Hashimoto Takeo Fujino Akira Shiose Takanari Kitazono |
| author_sort | Masahiro Kondo |
| collection | DOAJ |
| description | Abstract We herein describe a 49‐year‐old man with severe heart failure due to fulminant myocarditis who underwent left ventricular assist device implantation and received clopidogrel and warfarin as antithrombotic agents. The patient developed anemia secondary to chronic bleeding gastric hyperplastic polyps, necessitating endoscopic mucosal resection. Despite attempts to manage post‐endoscopic mucosal resection bleeding from a gastric ulcer by endoscopic hemostasis using hemostatic forceps, local hemostatic agents, and polyglycolic acid sheets, the bleeding persisted. Hemostasis of the refractory bleeding was finally achieved by endoscopic hand‐suturing of the ulcer. One month later, the ulcer was almost completely scarred. This case has important clinical value in that it demonstrates the efficacy of endoscopic hand‐suturing even in challenging cases such as refractory bleeding gastric ulcers in patients with left ventricular assist devices. |
| format | Article |
| id | doaj-art-c5f8b468fa3c4ae2b91df8192a5da230 |
| institution | DOAJ |
| issn | 2692-4609 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-c5f8b468fa3c4ae2b91df8192a5da2302025-08-20T02:55:03ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.369Use of endoscopic hand‐suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist deviceMasahiro Kondo0Tomohiro Nagasue1Takehiro Torisu2Satoshi Miyazono3Yuichi Matsuno4Takahisa Nagahata5Toru Hashimoto6Takeo Fujino7Akira Shiose8Takanari Kitazono9Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Cardiovascular Medicine Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Advanced Cardiopulmonary Failure Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Cardiovascular Surgery Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka JapanAbstract We herein describe a 49‐year‐old man with severe heart failure due to fulminant myocarditis who underwent left ventricular assist device implantation and received clopidogrel and warfarin as antithrombotic agents. The patient developed anemia secondary to chronic bleeding gastric hyperplastic polyps, necessitating endoscopic mucosal resection. Despite attempts to manage post‐endoscopic mucosal resection bleeding from a gastric ulcer by endoscopic hemostasis using hemostatic forceps, local hemostatic agents, and polyglycolic acid sheets, the bleeding persisted. Hemostasis of the refractory bleeding was finally achieved by endoscopic hand‐suturing of the ulcer. One month later, the ulcer was almost completely scarred. This case has important clinical value in that it demonstrates the efficacy of endoscopic hand‐suturing even in challenging cases such as refractory bleeding gastric ulcers in patients with left ventricular assist devices.https://doi.org/10.1002/deo2.369endoscopic hand‐suturingendoscopic hemostasisgastric ulcerleft ventricular assist deviceulcer bleeding |
| spellingShingle | Masahiro Kondo Tomohiro Nagasue Takehiro Torisu Satoshi Miyazono Yuichi Matsuno Takahisa Nagahata Toru Hashimoto Takeo Fujino Akira Shiose Takanari Kitazono Use of endoscopic hand‐suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device DEN Open endoscopic hand‐suturing endoscopic hemostasis gastric ulcer left ventricular assist device ulcer bleeding |
| title | Use of endoscopic hand‐suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device |
| title_full | Use of endoscopic hand‐suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device |
| title_fullStr | Use of endoscopic hand‐suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device |
| title_full_unstemmed | Use of endoscopic hand‐suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device |
| title_short | Use of endoscopic hand‐suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device |
| title_sort | use of endoscopic hand suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device |
| topic | endoscopic hand‐suturing endoscopic hemostasis gastric ulcer left ventricular assist device ulcer bleeding |
| url | https://doi.org/10.1002/deo2.369 |
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