ASGE DDW Videos from Around the World | 2023-A BRIDGE TO REMNANT STOMACH BLEEDING

Video Transcription

Video Summary

A 55-year-old female patient with a history of various medical conditions presented with melena and a drop in hemoglobin. Scans showed blood clots throughout the GI tract, and further exams revealed blood clots in the pancreatic co-biliary limb. An angiogram didn't show active bleeding, so an endoscopic ultrasound was planned. The ultrasound showed a large blood clot in the excluded stomach. A metal stent was placed to access the excluded stomach and remove blood clots. An ulcer with active bleeding was found in the proximal duodenum and was treated with hemostatic powder. After follow-up procedures, the bleeding stopped, and the ulcer began to heal. The lumenopoietic mitral stent played a crucial role in evaluating the remnant stomach, and various methods were used to achieve hemostasis.

Asset Subtitle

Honorable Mention

Keywords

melena

blood clots

endoscopic ultrasound

ulcer

hemostasis