Endoscopy 2018; 50(04): S181-S182
DOI: 10.1055/s-0038-1637592
ESGE Days 2018 ePosters
Georg Thieme Verlag KG Stuttgart · New York

IN VIVO ENDOSCOPIC HEMOSTASIS ON SMALL BOWEL OOZING LESIONS: FIRST EXPERIENCE IN THE EMERGENCY SETTING WITH THE THULIUM/ERBIUM LASER SYSTEM

GE Tontini
1   IRCCS Policlinico San Donato, Gastroenterology & Digestive Endoscopy Unit, San Donato Milanese, Italy
,
B Marinoni
1   IRCCS Policlinico San Donato, Gastroenterology & Digestive Endoscopy Unit, San Donato Milanese, Italy
,
L Pastorelli
1   IRCCS Policlinico San Donato, Gastroenterology & Digestive Endoscopy Unit, San Donato Milanese, Italy
2   Università degli Studi di Milano, Department of Biomedical Sciences for Health, Milano, Italy
,
A Rimondi
1   IRCCS Policlinico San Donato, Gastroenterology & Digestive Endoscopy Unit, San Donato Milanese, Italy
,
H Neumann
3   University Medical Center Mainz, First Medical Department, Mainz, Germany
,
L Spina
1   IRCCS Policlinico San Donato, Gastroenterology & Digestive Endoscopy Unit, San Donato Milanese, Italy
,
M Vecchi
2   Università degli Studi di Milano, Department of Biomedical Sciences for Health, Milano, Italy
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Publikationsdatum:
27. März 2018 (online)

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The Thulium/Erbium laser system (TELS) is a new and promising hemostatic technique in interventional endoscopy, which has been demonstrated successful and safe in the first in vivo hemostatic experiences. The 2-µm wavelength of the Thulium laser provides a confined coagulation depth (0.2 – 0.4 mm) to reduce possible inadvertent injuries.

Here, we report the first experience in the emergency setting with the TELS in a 77-year-old man with an acute and severe bleeding from small bowel oozing lesions.

The TELS was shown to be an effective and safe hemostatic endoscopic technique, suitable for the emergency setting and small bowel superficial lesions, as well as for combination therapies in case of deeper mucosal gastro-intestinal bleeding.