A successful treatment case of refractory hemorrhagic ulcer with eosinophilic gastritis by endoscopic hand suturing
Abstract A 78‐year‐old man was admitted to our hospital with a tarry stool. Esophagogastroduodenoscopy identified tiny oozing on the greater curvature at the antrum. Despite repeated endoscopic hemostasis by coagulation and clipping, rebleeding occurred. On the third rebleeding, we performed endosco...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-04-01
|
| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.207 |
| _version_ | 1827957575093583872 |
|---|---|
| author | Shun Nakagome Eriko Koizumi Osamu Goto Michika Kitamura Noriyuki Kawami Kazutoshi Higuchi Takeshi Onda Jun Omori Naohiko Akimoto Katsuhiko Iwakiri |
| author_facet | Shun Nakagome Eriko Koizumi Osamu Goto Michika Kitamura Noriyuki Kawami Kazutoshi Higuchi Takeshi Onda Jun Omori Naohiko Akimoto Katsuhiko Iwakiri |
| author_sort | Shun Nakagome |
| collection | DOAJ |
| description | Abstract A 78‐year‐old man was admitted to our hospital with a tarry stool. Esophagogastroduodenoscopy identified tiny oozing on the greater curvature at the antrum. Despite repeated endoscopic hemostasis by coagulation and clipping, rebleeding occurred. On the third rebleeding, we performed endoscopic hand suturing to completely close the ulcer surface. Biopsy showing massive infiltration of eosinophils at the ulcer edge indicated eosinophilic gastritis. After the endoscopic closure by endoscopic hand suturing, the patient had no symptoms of bleeding thereafter and was discharged 19 days after the procedure by taking oral prednisolone. The patient remained well and was continuously treated with a small dose of steroids in outpatient. This is the first case report of the successful application of endoscopic hand suturing to a refractory hemorrhagic ulcer. Further accumulation of clinical experiences is desired to confirm the usefulness of this technique for the prevention of refractory ulcer bleeding. |
| first_indexed | 2024-04-09T15:22:09Z |
| format | Article |
| id | doaj.art-043eab9e7d8b40b2be66e038e59283e4 |
| institution | Directory Open Access Journal |
| issn | 2692-4609 |
| language | English |
| last_indexed | 2024-04-09T15:22:09Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj.art-043eab9e7d8b40b2be66e038e59283e42023-04-29T05:12:58ZengWileyDEN Open2692-46092023-04-0131n/an/a10.1002/deo2.207A successful treatment case of refractory hemorrhagic ulcer with eosinophilic gastritis by endoscopic hand suturingShun Nakagome0Eriko Koizumi1Osamu Goto2Michika Kitamura3Noriyuki Kawami4Kazutoshi Higuchi5Takeshi Onda6Jun Omori7Naohiko Akimoto8Katsuhiko Iwakiri9Department of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanDepartment of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanDepartment of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanDepartment of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanDepartment of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanDepartment of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanDepartment of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanDepartment of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanDepartment of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanDepartment of Gastroenterology Nippon Medical School, Graduate School of Medicine Tokyo JapanAbstract A 78‐year‐old man was admitted to our hospital with a tarry stool. Esophagogastroduodenoscopy identified tiny oozing on the greater curvature at the antrum. Despite repeated endoscopic hemostasis by coagulation and clipping, rebleeding occurred. On the third rebleeding, we performed endoscopic hand suturing to completely close the ulcer surface. Biopsy showing massive infiltration of eosinophils at the ulcer edge indicated eosinophilic gastritis. After the endoscopic closure by endoscopic hand suturing, the patient had no symptoms of bleeding thereafter and was discharged 19 days after the procedure by taking oral prednisolone. The patient remained well and was continuously treated with a small dose of steroids in outpatient. This is the first case report of the successful application of endoscopic hand suturing to a refractory hemorrhagic ulcer. Further accumulation of clinical experiences is desired to confirm the usefulness of this technique for the prevention of refractory ulcer bleeding.https://doi.org/10.1002/deo2.207endoscopic hand suturingendoscopic hemostasiseosinophilic gastritisgastric ulcerulcer bleeding |
| spellingShingle | Shun Nakagome Eriko Koizumi Osamu Goto Michika Kitamura Noriyuki Kawami Kazutoshi Higuchi Takeshi Onda Jun Omori Naohiko Akimoto Katsuhiko Iwakiri A successful treatment case of refractory hemorrhagic ulcer with eosinophilic gastritis by endoscopic hand suturing DEN Open endoscopic hand suturing endoscopic hemostasis eosinophilic gastritis gastric ulcer ulcer bleeding |
| title | A successful treatment case of refractory hemorrhagic ulcer with eosinophilic gastritis by endoscopic hand suturing |
| title_full | A successful treatment case of refractory hemorrhagic ulcer with eosinophilic gastritis by endoscopic hand suturing |
| title_fullStr | A successful treatment case of refractory hemorrhagic ulcer with eosinophilic gastritis by endoscopic hand suturing |
| title_full_unstemmed | A successful treatment case of refractory hemorrhagic ulcer with eosinophilic gastritis by endoscopic hand suturing |
| title_short | A successful treatment case of refractory hemorrhagic ulcer with eosinophilic gastritis by endoscopic hand suturing |
| title_sort | successful treatment case of refractory hemorrhagic ulcer with eosinophilic gastritis by endoscopic hand suturing |
| topic | endoscopic hand suturing endoscopic hemostasis eosinophilic gastritis gastric ulcer ulcer bleeding |
| url | https://doi.org/10.1002/deo2.207 |
| work_keys_str_mv | AT shunnakagome asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT erikokoizumi asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT osamugoto asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT michikakitamura asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT noriyukikawami asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT kazutoshihiguchi asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT takeshionda asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT junomori asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT naohikoakimoto asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT katsuhikoiwakiri asuccessfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT shunnakagome successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT erikokoizumi successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT osamugoto successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT michikakitamura successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT noriyukikawami successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT kazutoshihiguchi successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT takeshionda successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT junomori successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT naohikoakimoto successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing AT katsuhikoiwakiri successfultreatmentcaseofrefractoryhemorrhagiculcerwitheosinophilicgastritisbyendoscopichandsuturing |