Display options
Cite
Ivekovic H, Radulovic B, Jankovic S, et al. Combined use of clips and nylon snare ("tulip-bundle") as a rescue endoscopic bleeding control in a mallory-weiss syndrome. Case Rep Gastrointest Med. 2014;2014:972765doi: 10.1155/2014/972765.
Ivekovic, H., Radulovic, B., Jankovic, S., Markos, P., & Rustemovic, N. (2014). 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, 2014972765. https://doi.org/10.1155/2014/972765
Ivekovic, Hrvoje, et al. "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 vol. 2014 (2014): 972765. doi: https://doi.org/10.1155/2014/972765
Ivekovic H, Radulovic B, Jankovic S, Markos P, Rustemovic N. Combined use of clips and nylon snare ("tulip-bundle") as a rescue endoscopic bleeding control in a mallory-weiss syndrome. Case Rep Gastrointest Med. 2014;2014:972765. doi: 10.1155/2014/972765. Epub 2014 Sep 25. PMID: 25328727; PMCID: PMC4195354.
Copy Download .nbib Format: NLM
Share it on

Case Rep Gastrointest Med. 2014;2014:972765. doi: 10.1155/2014/972765. Epub 2014 Sep 25.

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

Hrvoje Ivekovic, Bojana Radulovic, Suzana Jankovic, Pave Markos, Nadan Rustemovic

Affiliations

  1. Department of Gastroenterology and Hepatology, Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.

PMID: 25328727 PMCID: PMC4195354 DOI: 10.1155/2014/972765

Abstract

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.

References

  1. Gastrointest Endosc. 2002 Jun;55(7):842-6 - PubMed
  2. World J Gastroenterol. 2008 Apr 7;14(13):2080-4 - PubMed
  3. Endoscopy. 2011;43 Suppl 2 UCTN:E170 - PubMed
  4. Surg Endosc. 2013 Sep;27(9):3162-4 - PubMed
  5. Dig Endosc. 2010 Jul;22 Suppl 1:S26-30 - PubMed
  6. J Clin Gastroenterol. 2014 Feb;48(2):113-8 - PubMed
  7. Hepatogastroenterology. 2011 Mar-Apr;58(106):417-20 - PubMed
  8. Gastroenterology. 2004 Feb;126(2):441-50 - PubMed
  9. Endoscopy. 2013 Jun;45(6):489-92 - PubMed
  10. Endoscopy. 2009;41 Suppl 2:E249-50 - PubMed
  11. J Clin Gastroenterol. 1999 Dec;29(4):306-17 - PubMed
  12. Hepatogastroenterology. 1996 Jan-Feb;43(7):174-7 - PubMed

Publication Types