Journal
JOURNAL OF HEPATOLOGY
Volume 60, Issue 2, Pages 457-460Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.jhep.2013.10.008
Keywords
Portal hypertension; Gastrointestinal bleeding; Endoscopic hemostasis
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Hemospray is a haemostatic agent licensed for endoscopic haemostasis of non-variceal upper gastrointestinal bleeding (NVUGIB) in Europe and Canada. Hemospray has been shown to be safe and effective in achieving haemostasis in bleeding peptic ulcers in a prospective clinical study and several further case series have described the use of hemospray in other non-variceal causes of gastrointestinal bleeding. Portal hypertensive gastropathy and colopathy are common in patients with portal hypertension. As hemospray is an easy to apply, non-contact method, which can cover large areas of mucosa, it may be of benefit in acute non-variceal portal hypertensive bleeding. We present data from the first four consecutive patients presenting to our institution with acute haemorrhage secondary to non-variceal diffuse portal hypertensive bleeding treated with hemospray. (C) 2013 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.
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