FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2912540674> ?p ?o ?g. }

• W2912540674 endingPage "S1012" @default.
• W2912540674 startingPage "S1011" @default.
• W2912540674 abstract "Upper gastrointestinal bleed (GIB) is divided to varcial and nonvariceal causes. Endoscopic therapy can be achieved using combination of different conventional modalities. To achieve better outcomes, GIB has to be managed promptly and effectively. These conventional techniques can fail in approximately 5-12% of cases. This leads to significant morbidity and mortality. Over the scope clip (OTSC) is a tool designed for closure defect but recently has been used to achieve hemostasis when other conventional modalities fails. Here, we report a case of rescue therapy using OTSC of massive UGI developed while conventional therapy was utilized. A 62-year-old male smoker with history of hypertension presented with melena, fatigue and dizziness for the last 3 days. He denied any previous GI bleeding, but reported taking NSAIDS heavily for the 2 weeks prior to presentation for osteoarthritis flare. He was hypotensive with tachycardia in the emergency room. Laboratory workup revealed hemoglobin of 7.6 mg/dl with BUN of 41 mg/dl and creatinine of 0.92 mg/dl. He was volume resuscitated with intravenous fluids, blood transfusions and pantoprazole infusion. Once stabilized, patient underwent prompt upper endoscopy which revealed presence of multiple 2-3 cm sized clean based gastric ulcers, one of which had a visible vessel (figure 1). Endo therapy was performed using local injection of 1:10,000 epinephrine followed by Bipolar Hemostasis coagulation therapy, the visible vessel opened spurting in a continuous high speed jet (figure 2). Rescue Hemostasis was promptly achieved using OTSC (figure 3). After endoscopic therapy the patient was continued on pantoprazole therapy in intensive care unit. For 3 consecutive days post procedure, all his parameter including hemoglobin remained stable with no evidence of recurrent bleeding. OTSC has been increasing used for hemostasis. Its design permits compression of large surface area including bleeding exposed vessels. This feature is helpful if the source of UGIB is surrounded by fixed harder tissue. It is fast to assemble and can be deploy using easy band-like ligation technique. In many recent studies, OTSC was used as a rescue modality after failure of conventional endoscopic modalities. In those studies, hemostasis was achieved with very few rebleeding rates. In this case we highlight the utility of OTSC as a rescue tool to achieve successful hemostasis when control Of GIB using conventional modalities may result in a worse bleeding adversarial effect. Further studies are needed to define the optimal use of this emerging tool as a secondary tool.Figure: Endoscopic Image showing large ulcer in the body of stomach with vessel (arrow) underneath.Figure: Endoscopic Image showing a spurting vessel in gastric ulcer.Figure: Endoscopic Image showing over the scope clip placed on spurting vessel in gastric ulcer with successful hemostasis." @default.
• W2912540674 created "2019-02-21" @default.
• W2912540674 creator A5027272545 @default.
• W2912540674 creator A5030951058 @default.
• W2912540674 creator A5067902193 @default.
• W2912540674 creator A5073670307 @default.
• W2912540674 date "2017-10-01" @default.
• W2912540674 modified "2023-09-26" @default.
• W2912540674 title "When Control of Bleeding Causes Bleeding! Rescuing of Massive Upper Gastrointestinal Bleeding Using Over-the-Scope Clip Developed After Conventional Endoscopic Therapy" @default.
• W2912540674 doi "https://doi.org/10.14309/00000434-201710001-01842" @default.
• W2912540674 hasPublicationYear "2017" @default.
• W2912540674 type Work @default.
• W2912540674 sameAs 2912540674 @default.
• W2912540674 citedByCount "0" @default.
• W2912540674 crossrefType "journal-article" @default.
• W2912540674 hasAuthorship W2912540674A5027272545 @default.
• W2912540674 hasAuthorship W2912540674A5030951058 @default.
• W2912540674 hasAuthorship W2912540674A5067902193 @default.
• W2912540674 hasAuthorship W2912540674A5073670307 @default.
• W2912540674 hasConcept C126322002 @default.
• W2912540674 hasConcept C141071460 @default.
• W2912540674 hasConcept C2776259030 @default.
• W2912540674 hasConcept C2776345487 @default.
• W2912540674 hasConcept C2777424391 @default.
• W2912540674 hasConcept C2777498785 @default.
• W2912540674 hasConcept C2778080469 @default.
• W2912540674 hasConcept C2778451229 @default.
• W2912540674 hasConcept C2778589496 @default.
• W2912540674 hasConcept C2780970106 @default.
• W2912540674 hasConcept C2781315423 @default.
• W2912540674 hasConcept C2909810335 @default.
• W2912540674 hasConcept C42219234 @default.
• W2912540674 hasConcept C71924100 @default.
• W2912540674 hasConceptScore W2912540674C126322002 @default.
• W2912540674 hasConceptScore W2912540674C141071460 @default.
• W2912540674 hasConceptScore W2912540674C2776259030 @default.
• W2912540674 hasConceptScore W2912540674C2776345487 @default.
• W2912540674 hasConceptScore W2912540674C2777424391 @default.
• W2912540674 hasConceptScore W2912540674C2777498785 @default.
• W2912540674 hasConceptScore W2912540674C2778080469 @default.
• W2912540674 hasConceptScore W2912540674C2778451229 @default.
• W2912540674 hasConceptScore W2912540674C2778589496 @default.
• W2912540674 hasConceptScore W2912540674C2780970106 @default.
• W2912540674 hasConceptScore W2912540674C2781315423 @default.
• W2912540674 hasConceptScore W2912540674C2909810335 @default.
• W2912540674 hasConceptScore W2912540674C42219234 @default.
• W2912540674 hasConceptScore W2912540674C71924100 @default.
• W2912540674 hasLocation W29125406741 @default.
• W2912540674 hasOpenAccess W2912540674 @default.
• W2912540674 hasPrimaryLocation W29125406741 @default.
• W2912540674 hasRelatedWork W181710722 @default.
• W2912540674 hasRelatedWork W2063066228 @default.
• W2912540674 hasRelatedWork W2155687217 @default.
• W2912540674 hasRelatedWork W2371702060 @default.
• W2912540674 hasRelatedWork W2791855672 @default.
• W2912540674 hasRelatedWork W2792390477 @default.
• W2912540674 hasRelatedWork W2806351415 @default.
• W2912540674 hasRelatedWork W2913417809 @default.
• W2912540674 hasRelatedWork W2948929766 @default.
• W2912540674 hasRelatedWork W4327661911 @default.
• W2912540674 hasVolume "112" @default.
• W2912540674 isParatext "false" @default.
• W2912540674 isRetracted "false" @default.
• W2912540674 magId "2912540674" @default.
• W2912540674 workType "article" @default.