Combined Use of Clips and Nylon Snare (“Tulip-Bundle”) as a Rescue Endoscopic Bleeding Control in a Mallory-Weiss Syndrome
Mallory-Weiss syndrome (MWS) accounts for 6–14% of all cases of upper gastrointestinal bleeding. Prognosis of patients with MWS is generally good, with a benign course and rare recurrence of bleeding. However, no strict recommendations exist in regard to the mode of action after a failure of primary...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/972765 |
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| author | Hrvoje Ivekovic Bojana Radulovic Suzana Jankovic Pave Markos Nadan Rustemovic |
| author_facet | Hrvoje Ivekovic Bojana Radulovic Suzana Jankovic Pave Markos Nadan Rustemovic |
| author_sort | Hrvoje Ivekovic |
| collection | DOAJ |
| description | Mallory-Weiss syndrome (MWS) accounts for 6–14% of all cases of upper gastrointestinal bleeding. Prognosis of patients with MWS is generally good, with a benign course and rare recurrence of bleeding. However, no strict recommendations exist in regard to the mode of action after a failure of primary endoscopic hemostasis. We report a case of an 83-year-old male with MWS and rebleeding after the initial endoscopic treatment with epinephrine and clips. The final endoscopic control of bleeding was achieved by a combined application of clips and a nylon snare in a “tulip-bundle” fashion. The patient had an uneventful postprocedural clinical course and was discharged from the hospital five days later. To the best of our knowledge, this is the first case report showing the “tulip-bundle” technique as a rescue endoscopic bleeding control in the esophagus. |
| format | Article |
| id | doaj-art-b271b19a8e1d4bdb89702276e02b2e8f |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-b271b19a8e1d4bdb89702276e02b2e8f2025-02-03T05:45:55ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362014-01-01201410.1155/2014/972765972765Combined Use of Clips and Nylon Snare (“Tulip-Bundle”) as a Rescue Endoscopic Bleeding Control in a Mallory-Weiss SyndromeHrvoje Ivekovic0Bojana Radulovic1Suzana Jankovic2Pave Markos3Nadan Rustemovic4Department of Gastroenterology and Hepatology, Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, CroatiaDepartment of Gastroenterology and Hepatology, Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, CroatiaDepartment of Gastroenterology and Hepatology, Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, CroatiaDepartment of Gastroenterology and Hepatology, Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, CroatiaDepartment of Gastroenterology and Hepatology, Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, CroatiaMallory-Weiss syndrome (MWS) accounts for 6–14% of all cases of upper gastrointestinal bleeding. Prognosis of patients with MWS is generally good, with a benign course and rare recurrence of bleeding. However, no strict recommendations exist in regard to the mode of action after a failure of primary endoscopic hemostasis. We report a case of an 83-year-old male with MWS and rebleeding after the initial endoscopic treatment with epinephrine and clips. The final endoscopic control of bleeding was achieved by a combined application of clips and a nylon snare in a “tulip-bundle” fashion. The patient had an uneventful postprocedural clinical course and was discharged from the hospital five days later. To the best of our knowledge, this is the first case report showing the “tulip-bundle” technique as a rescue endoscopic bleeding control in the esophagus.http://dx.doi.org/10.1155/2014/972765 |
| spellingShingle | Hrvoje Ivekovic Bojana Radulovic Suzana Jankovic Pave Markos Nadan Rustemovic Combined Use of Clips and Nylon Snare (“Tulip-Bundle”) as a Rescue Endoscopic Bleeding Control in a Mallory-Weiss Syndrome Case Reports in Gastrointestinal Medicine |
| title | Combined Use of Clips and Nylon Snare (“Tulip-Bundle”) as a Rescue Endoscopic Bleeding Control in a Mallory-Weiss Syndrome |
| title_full | Combined Use of Clips and Nylon Snare (“Tulip-Bundle”) as a Rescue Endoscopic Bleeding Control in a Mallory-Weiss Syndrome |
| title_fullStr | Combined Use of Clips and Nylon Snare (“Tulip-Bundle”) as a Rescue Endoscopic Bleeding Control in a Mallory-Weiss Syndrome |
| title_full_unstemmed | Combined Use of Clips and Nylon Snare (“Tulip-Bundle”) as a Rescue Endoscopic Bleeding Control in a Mallory-Weiss Syndrome |
| title_short | Combined Use of Clips and Nylon Snare (“Tulip-Bundle”) as a Rescue Endoscopic Bleeding Control in a Mallory-Weiss Syndrome |
| title_sort | combined use of clips and nylon snare tulip bundle as a rescue endoscopic bleeding control in a mallory weiss syndrome |
| url | http://dx.doi.org/10.1155/2014/972765 |
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