Three Cases of Endoscopic Hemostasis of Gastric Ulcer Bleeding from an Exposed Blood Vessel with Using Histoacryl (N-Butyl-2-Cyanoacrylate).
- Author:
Yong Wan SUNG
1
;
Ji Hun ROH
;
Young Hwa JO
;
Dong Young GU
;
Jae Hoon YOO
;
Jun Mo YOUN
;
Sung Hoon KIM
;
Young Min SHIN
Author Information
1. Department of Internal Medicine, Dongeui Medical Center, Busan, Korea. wisroh@naver.com
- Publication Type:Case Report
- Keywords:
Histoacryl;
Gastric ulcer;
Exposed blood vessel
- MeSH:
Blood Vessels;
Emergencies;
Enbucrilate;
Ethiodized Oil;
Glycosaminoglycans;
Hemorrhage;
Hemostasis, Endoscopic;
Humans;
Peptic Ulcer;
Stomach Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2009;38(4):218-223
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Upper gastrointestinal bleeding is a primary and emergency complication of peptic ulcer. Injection of Histoacryl (N-butyl-2-cyanoacrylate) is an effective endoscopic hemostasis procedure to treat peptic ulcer bleeding. However, Histoacryl injection is not a widely used method because of its various and sometimes severe complications. Therefore, the use of Histocaryl should be considered as a second line treatment modality to achieve therapeutic endoscopic hemostasis when the conventional treatment modalities fail or the patient has a high risk of needing operative therapy. Three patients, who had gastric ulcer bleeding from an exposed blood vessel, were each treated by an injection of Histoacryl diluted with Lipiodol at a dilution ratio of 1:1. All 3 procedures were successfully accomplished without any complications.
