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KMID : 1038120220550030443
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Clinical Endoscopy
2022 Volume.55 No. 3 p.443 ~ p.446
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Endoscopic hemostasis using an over-the-scope clip for massive bleeding after percutaneous endoscopic gastrostomy removal: a case report
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Moon Sun-Young
Jung Min-Kyu
Heo Jun
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Abstract
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Percutaneous endoscopic gastrostomy (PEG) is a common method for providing long-term enteral nutrition to patients. PEG tube placement and removal are relatively safe; generally, a PEG tube can be removed using gentle traction, and excessive bleeding is rare. The over-the-scope clip system is a new device that can be used for gastrointestinal hemostasis and for closing gastrointestinal fistulae. In the present case, a 68-year-old male patient had to remove the PEG tube because of persistent leakage around the PEG tube. Although it was gently removed using traction, incessant bleeding continued, with a Rockall score of 5 points, even after hemocoagulation was attempted. An over-the-scope clip device was used to achieve hemostasis and fistula closure.
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KEYWORD
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Bleeding, Gastrocutaneous fistula, Over-the-scope clip, Percutaneous endoscopic gastrostomy
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