Document Detail


Implantation of self-expanding metal stent in the treatment of severe bleeding from esophageal ulcer after endoscopic band ligation.
MedLine Citation:
PMID:  20731698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endoscopic variceal ligation is superior to sclerotherapy because of its lower rebleeding and complication rates. However, ligation may be associated with life-threatening bleeding from postbanding esophageal ulcer. We report a case of a 49-year-old male with massive hemorrhage from esophageal ulcer on 8th day after successful band ligation of bleeding esophageal varices caused by postviral liver cirrhosis (Child-Pugh class C). A removable polyurethane membrane-covered self-expanding metal stent (SX-ELLA stent Danis, 135 mm × 25 mm, ELLA-CS, Hradec-Kralove, Czech Republic) was inserted in ICU for preventing fatal hemorrhage. Complete hemostasis was achieved and stent was removed after 8 days without rebleeding or any complications. To the best of our knowledge, this is the first report in English literature regarding life-threatening hemorrhage from postbanding esophageal ulcer successfully treated by self-expanding metal stent in a patient with portal hypertension.
Authors:
I Mishin; G Ghidirim; A Dolghii; G Bunic; G Zastavnitsky
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-08-19
Journal Detail:
Title:  Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus / I.S.D.E     Volume:  23     ISSN:  1442-2050     ISO Abbreviation:  Dis. Esophagus     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-05     Completed Date:  2011-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809160     Medline TA:  Dis Esophagus     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  E35-8     Citation Subset:  IM    
Copyright Information:
© 2010 Copyright the Authors. Journal compilation © 2010, Wiley Periodicals, Inc. and the International Society for Diseases of the Esophagus.
Affiliation:
First Department of Surgery N. Anestiadi, Laboratory of Hepato-Pancreato-Biliary Surgery, Medical University N. Testemitsanu, National Center of Emergency Medicine, Kishinev, Moldova. mishin_igor@mail.ru
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MeSH Terms
Descriptor/Qualifier:
Esophageal Diseases / complications*,  surgery*
Esophagoscopy*
Gastrointestinal Hemorrhage / etiology*,  surgery*
Humans
Ligation
Male
Middle Aged
Prosthesis Design
Prosthesis Implantation
Severity of Illness Index
Stents*
Ulcer / complications*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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