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DOI: 10.1055/s-0040-1704353
GEL IMMERSION ENDOSCOPY (GIE) FACILITATES HAEMOSTASIS FOR THE MANAGEMENT OF BLEEDING POST WIDE-FIELD CAECAL ENDOSCOPIC MUCOSAL RESECTION (EMR)
Publikationsverlauf
Publikationsdatum:
23. April 2020 (online)
Post-procedural-bleeding(PPB) is an adverse event that may lead to hospitalisation, transfusion and additional endotherapy after wide-field-EMR(WF-EMR). Gel-immersion-endoscopy(GIE) has been recently described to improve targeted views and facilitate endotherapy.
WF-EMR was performed for a 60mm mixed-nodular type granular-laterally-spreading caecal-tumour(LST-G) and patient presented after 24h with PPB which required blood transfusion.
CO2-insufflation and water-irrigation were used without success at optimising views due to luminal fresh blood. Rapid mixture of blood and water prevented identification of bleeding-point. A clear-gel with increased viscosity was then infused into the lumen; this results in a clear ‘visual-shield’ which enhances visualisation and treatment of the culprit vessel.
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