Ultrasound (US)-guided percutaneous thrombin injection for stoma-site bleeding after PEG tube insertion: a case series and review of the literature
Abstract Background Post-gastrostomy bleeding sequelae are acknowledged, with reported approaches focusing on conservative measures or surgical repair. Nonetheless, Percutaneous Thrombin Injections (PTI) role in PEG-site-related bleeding remains underexplored. PTI under ultrasound guidance is an adv...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-02-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42155-024-00432-y |
| _version_ | 1797273126450495488 |
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| author | Aws Alfahad Rawan Alhalabi |
| author_facet | Aws Alfahad Rawan Alhalabi |
| author_sort | Aws Alfahad |
| collection | DOAJ |
| description | Abstract Background Post-gastrostomy bleeding sequelae are acknowledged, with reported approaches focusing on conservative measures or surgical repair. Nonetheless, Percutaneous Thrombin Injections (PTI) role in PEG-site-related bleeding remains underexplored. PTI under ultrasound guidance is an advocated management strategy for stoma-site bleeding following gastrostomy in high-risk patients, particularly those on direct oral anticoagulants. Case presentation This study presents three cases with multiple comorbidities who underwent PTI. Resulting in immediate resolution of bleeding, no systemic\local effect, and no reported complications or rebleeding after a 3–6-month follow-up. Conclusion The findings highlight the safety, direct complete resolution, and absence of sequelae associated with PTI, suggesting its potential as a promising technique in managing PEG stoma-related bleeding. |
| first_indexed | 2024-03-07T14:39:08Z |
| format | Article |
| id | doaj.art-c6c47fd008244e78a9ba2bfd7a430870 |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-03-07T14:39:08Z |
| publishDate | 2024-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-c6c47fd008244e78a9ba2bfd7a4308702024-03-05T20:28:24ZengSpringerOpenCVIR Endovascular2520-89342024-02-01711510.1186/s42155-024-00432-yUltrasound (US)-guided percutaneous thrombin injection for stoma-site bleeding after PEG tube insertion: a case series and review of the literatureAws Alfahad0Rawan Alhalabi1American Hospital DubaiAmerican Hospital DubaiAbstract Background Post-gastrostomy bleeding sequelae are acknowledged, with reported approaches focusing on conservative measures or surgical repair. Nonetheless, Percutaneous Thrombin Injections (PTI) role in PEG-site-related bleeding remains underexplored. PTI under ultrasound guidance is an advocated management strategy for stoma-site bleeding following gastrostomy in high-risk patients, particularly those on direct oral anticoagulants. Case presentation This study presents three cases with multiple comorbidities who underwent PTI. Resulting in immediate resolution of bleeding, no systemic\local effect, and no reported complications or rebleeding after a 3–6-month follow-up. Conclusion The findings highlight the safety, direct complete resolution, and absence of sequelae associated with PTI, suggesting its potential as a promising technique in managing PEG stoma-related bleeding.https://doi.org/10.1186/s42155-024-00432-yGI bleedingAnticoagulantsUltrasoundThrombinPercutaneous Thrombin Injections PTIInterventional radiology |
| spellingShingle | Aws Alfahad Rawan Alhalabi Ultrasound (US)-guided percutaneous thrombin injection for stoma-site bleeding after PEG tube insertion: a case series and review of the literature CVIR Endovascular GI bleeding Anticoagulants Ultrasound Thrombin Percutaneous Thrombin Injections PTI Interventional radiology |
| title | Ultrasound (US)-guided percutaneous thrombin injection for stoma-site bleeding after PEG tube insertion: a case series and review of the literature |
| title_full | Ultrasound (US)-guided percutaneous thrombin injection for stoma-site bleeding after PEG tube insertion: a case series and review of the literature |
| title_fullStr | Ultrasound (US)-guided percutaneous thrombin injection for stoma-site bleeding after PEG tube insertion: a case series and review of the literature |
| title_full_unstemmed | Ultrasound (US)-guided percutaneous thrombin injection for stoma-site bleeding after PEG tube insertion: a case series and review of the literature |
| title_short | Ultrasound (US)-guided percutaneous thrombin injection for stoma-site bleeding after PEG tube insertion: a case series and review of the literature |
| title_sort | ultrasound us guided percutaneous thrombin injection for stoma site bleeding after peg tube insertion a case series and review of the literature |
| topic | GI bleeding Anticoagulants Ultrasound Thrombin Percutaneous Thrombin Injections PTI Interventional radiology |
| url | https://doi.org/10.1186/s42155-024-00432-y |
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