Implantation of self-expanding metal stent in the treatment of severe bleeding from esophageal ulcer after endoscopic band ligation
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MISHIN, Igor, GHIDIRIM, Gheorghe, DOLGHII, Andrei, BUNIC, Gheorghe, ZASTAVNITSKY, Gh.. Implantation of self-expanding metal stent in the treatment of severe bleeding from esophageal ulcer after endoscopic band ligation. In: Diseases of the Esophagus , 2010, nr. 7(23), p. 0. ISSN 1120-8694. DOI: https://doi.org/10.1111/j.1442-2050.2010.01090.x
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Diseases of the Esophagus
Numărul 7(23) / 2010 / ISSN 1120-8694 /ISSNe 1442-2050

Implantation of self-expanding metal stent in the treatment of severe bleeding from esophageal ulcer after endoscopic band ligation
DOI:https://doi.org/10.1111/j.1442-2050.2010.01090.x

Pag. 0-0

Mishin Igor, Ghidirim Gheorghe, Dolghii Andrei, Bunic Gheorghe, Zastavnitsky Gh.
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 20 iulie 2020
Rezumat

Endoscopic variceal ligation is superior to sclerotherapy because of its lower rebleeding and complication rates. However, ligation may be associated with life-threatening bleeding from postbanding esophageal ulcer. We report a case of a 49-year-old male with massive hemorrhage from esophageal ulcer on 8th day after successful band ligation of bleeding esophageal varices caused by postviral liver cirrhosis (Child-Pugh class C). A removable polyurethane membrane-covered self-expanding metal stent (SX-ELLA stent Danis, 135 mm × 25 mm, ELLA-CS, Hradec-Kralove, Czech Republic) was inserted in ICU for preventing fatal hemorrhage. Complete hemostasis was achieved and stent was removed after 8 days without rebleeding or any complications. To the best of our knowledge, this is the first report in English literature regarding life-threatening hemorrhage from postbanding esophageal ulcer successfully treated by self-expanding metal stent in a patient with portal hypertension.

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