Spontaneous Healing of Gastric Perforation after Endoscopic Ligation for Gastric Varices
Journal of Korean Medical Science
;
: 624-627, 2013.
Article
in English
| WPRIM
| ID: wpr-194137
ABSTRACT
Endoscopic variceal ligation (EVL) can be performed as an optional therapy for gastric variceal bleeding if endoscopic sclerotherapy (ES) is not readily available or if practitioners lack experience. EVL using an endoscopic pneumo-activated ligating device was performed on a 53-year-old male patient with liver cirrhosis who presented with hematemesis. Follow-up esophagogastroduodenoscopy (EGD) performed two days after the EVL showed gastric perforation at the EVL-procedure site on the gastric fundus. However, the patient refused emergency surgery, and therefore received only supportive management, including intravenous antibiotics. EGD 10 days later showed healing of the perforation site. This is the first report of a case of gastric variceal bleeding with development of a gastric perforation soon after EVL, which showed complete recovery with conservative therapy and without surgical intervention.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Esophageal and Gastric Varices
/
Tomography, X-Ray Computed
/
Endoscopy, Digestive System
/
Gastrointestinal Hemorrhage
/
Intestinal Perforation
/
Ligation
/
Liver Cirrhosis
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2013
Type:
Article
Similar
MEDLINE
...
LILACS
LIS