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- Title
Use of Over-the-Scope Clips in the Management of Refractory Postbanding Ulcer Bleed in a Patient After Liver Transplant.
- Authors
Sharma, Disha; Hamidu, Rukaiya Bashir; Rodriguez, Gracia Viana; Canakis, Andrew; Chatila, Ahmed; Goldberg, Eric
- Abstract
Postbanding ulcer bleeds (PBUBs) are an uncommon complication of variceal band ligation. They are often treated with proton pump inhibitors in addition to endoscopic interventions such as epinephrine injections, hemostatic clips, electrothermal cautery, or further band ligation. Over-the-scope clips are being increasingly used for the management of acute nonvariceal upper gastrointestinal bleeds, but their use in the management of PBUBs has been reported only once before.We present a 24-year-old man with alcohol-associated decompensated cirrhosis with recurrent PBUB, despite multiple endoscopic interventions, transjugular intrahepatic portosystemic shunt, and liver transplant, treated successfully with an Ovesco clip.
- Subjects
SURGICAL instruments; ULCERS; GASTROINTESTINAL hemorrhage; ADRENALINE; ENDOSCOPIC surgery; SURGICAL complications; HEMOSTASIS; RISK assessment; LIVER transplantation; RARE diseases; LIGATURE (Surgery); ENDOSCOPY; DISEASE risk factors
- Publication
ACG Case Reports Journal, 2024, Vol 11, Issue 1, p1
- ISSN
2326-3253
- Publication type
Article
- DOI
10.14309/crj.0000000000001241