engleski

Successful use of Hemospray to control refractory post-polypectomy bleeding

Post-polypectomy bleeding is a well-known complication of colonic polypectomy, with a reported incidence ranging from 0.6 % to 8.6 %.Acute post-polypectomy bleeding is often immediately apparent and amenable to endoscopic therapy, and the use of hemoclips is a preferred treatment modality. However, in our patient, a failure of hemostasis was observed, possibly caused by the retraction of a blood vessel deeper into the colonic wall and the subsequent inability to grasp the vessel with a clip. The use of Hemospray for the control of colonic hemorrhage was demonstrated recently. However, the efficacy of this hemostatic agent in controlling spurting post-polypectomy bleeding was limited [4]. Our case contrasts with this finding, possibly because a larger amount of the powder was applied to the site of bleeding. Although the use of Hemospray in the lower gastrointestinal tract is off label, we believe that our case adds to the experience with this novel treatment modality, in which Hemospray is applied for “rescue” hemostasis in the context of spurting post-polypectomy bleeding after failure of the primary hemostatic modality.

endoscopic hemostatsi, gastrointestinal bleeding, gastrointestinal endoscopy, adverse event

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