Over-the-scope clip (OTS-clip): An effective rescue therapy for acute duodenal variceal bleeding

Abstract Text Duodenal variceal bleeding is associated with high morbidity and mortality rates. Endoscopic managment options are limited. We report the case of a 52-year-old female patient with alcoholic liver cirrhosis who was admitted with acute upper gastrointestinal bleeding. Endoscopic assessment revealed active bleeding from duodenal varices located in the second part of the duodenum. We injected cyanoacrylate but the bleeding continued. We then decided to use an over-the-scope clip,which caused immediate bleeding cessation. Upper endoscopy on the second day revealed complete hemostasis. Transjugular intrahepatic portosystemic shunt placement was performed on the third day. After 1 week, the patient was discharged in a satisfactory general condition. A follow-up endoscopy 3 months later revealed complete regression of the varices, and the patient was referred to a liver center for liver transplantation evaluation [1].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/518c0fd1-7bc2-4df5-9bb4-760206ddd138/Uploads/16849_OTSC.mp4

Publikationsverlauf

Artikel online veröffentlicht:
27. März 2025

• References

• 1 Yipeng W, Cong L, Sizhe W, Chenkai H, Anjiang W, Xuan Z.. Effectiveness and safety of endoscopic treatment for duodenal variceal bleeding: a systematic review. Eur J Gastroenterol Hepatol 2021; 33 (4): 461-469