An unusual complication after endoscopic clipping of a gastric ulcer.

A 72-year-old patient presented with malaena secondary to two antral ulcers which were discovered in oesophagogastroduodenoscopy (OGD) after admission. One of the ulcers with a visible vessel was injected with adrenaline and clipped with an OVESCO clip. The patient continued to have coffee ground vo...

Descripción completa

Detalles Bibliográficos
Publicado en:Therapeutic Advances in Gastrointestinal Endoscopy pp. 1 - 5
Autores principales: Ramu, Lakshman, Kian-Tak, Soo, Tay, Gerald Ci-An
Formato: case study diagnostic images pictorial Journal Article
Publicado: Sage Publications Inc. 12/25/2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174475779&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 174475779
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        26317745
        M8AA
      jtl: Therapeutic Advances in Gastrointestinal Endoscopy
      issn: 26317745
      maglogo: Y
    pubinfo:
      dt: 12/25/2023
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
    artinfo:
      ui:
        174475779
        174475779
        174475779
        10.1177/26317745231220477
        174475779
      ppf: 1
      ppct: 4
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: An unusual complication after endoscopic clipping of a gastric ulcer.
      aug:
        au:
          Ramu, Lakshman
          Kian-Tak, Soo
          Tay, Gerald Ci-An
        affil: Data curation, Department of General Surgery, Singapore General Hospital, Academia, 20 College Road, Singapore 169856, Singapore
      sug:
        subj:
          Peptic Ulcer Diagnosis
          Peptic Ulcer Surgery
          Hemostasis, Endoscopic Adverse Effects
          Postoperative Complications Diagnosis
          Male
          Aged
          Melena Etiology
          Endoscopy, Gastrointestinal Methods
          Epinephrine Therapeutic Use
          Tomography, X-Ray Computed Methods
          Aged: 65+ years
          Male
      ab: A 72-year-old patient presented with malaena secondary to two antral ulcers which were discovered in oesophagogastroduodenoscopy (OGD) after admission. One of the ulcers with a visible vessel was injected with adrenaline and clipped with an OVESCO clip. The patient continued to have coffee ground vomitus on the following day with a drop in haemoglobin level. Repeat OGD showed a large intra-mural haematoma with the clip still in situ and no bleeding from the surface of the ulcer. Patient underwent a coil embolization of the distal gastroduodenal artery (GDA), right gastroepiploic artery and a medial branch of the GDA. Repeat OGD showed that the submucosal haematoma had evacuated, leaving a large, clean-based mucosal defect.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N