Clinical Endoscopy

  • 제55권3호
  • /
  • Pages.443-446
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  • 2022
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Endoscopic hemostasis using an over-the-scope clip for massive bleeding after percutaneous endoscopic gastrostomy removal: a case report

  • Sun Young Moon (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Min Kyu Jung (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Jun Heo (Department of Internal Medicine, Kyungpook National University School of Medicine)
  • 투고 : 2020.11.13
  • 심사 : 2021.01.15
  • 발행 : 2022.05.30
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초록

Percutaneous endoscopic gastrostomy (PEG) is a common method for providing long-term enteral nutrition to patients. PEG tube placement and removal are relatively safe; generally, a PEG tube can be removed using gentle traction, and excessive bleeding is rare. The over-the-scope clip system is a new device that can be used for gastrointestinal hemostasis and for closing gastrointestinal fistulae. In the present case, a 68-year-old male patient had to remove the PEG tube because of persistent leakage around the PEG tube. Although it was gently removed using traction, incessant bleeding continued, with a Rockall score of 5 points, even after hemocoagulation was attempted. An over-the-scope clip device was used to achieve hemostasis and fistula closure.

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참고문헌

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