Kashintsev AA, Rusanov DS, Antipova MV, Anisimov SV, Granstrem OK, Kokhanenko NY, Medvedev KV, Kutumov EB, Nadeeva AA, Proutski V. Hemostasis of massive bleeding from esophageal tumor: A case report.
World J Gastrointest Endosc 2022;
14:636-641. [PMID:
36303813 PMCID:
PMC9593517 DOI:
10.4253/wjge.v14.i10.636]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 06/24/2022] [Accepted: 09/14/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND
Esophageal cancer is a common type of cancer and serious bleeding from esophageal tumors can occur in routine clinical practice. The arrest of bleeding from esophageal tumor is not a trivial task, which can sometimes require nonstandard solutions. We report a case of successful hemostasis of massive bleeding from esophageal tumor performed by a novel two-balloon catheter inserted endoscopically, with a local hemostatic treatment applied.
CASE SUMMARY
A 36-years old male patient with advanced esophageal cancer developed bleeding from the tumor following endoscopic stenting with a self-expanding metal stent. Due to the ineffectiveness of standard approaches, after a medical conference, the patient was treated with a novel method based on the use of a two-balloon catheter creating an isolated area in esophagus and locally dispersing hemostatic polysaccharide powder inside the isolated interior. Hemostasis was successful and subsequent endoscopic examination revealed the presence of organized clot and localized defect, which was coagulated in a planned manner.
CONCLUSION
The authors present a new catheter-based method of hemostasis of esophageal tumor bleeding.
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