Management of a Dieulafoy ulcer bleed with an over-the-scope clip

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Presentation transcript:

Management of a Dieulafoy ulcer bleed with an over-the-scope clip Malay Sharma, MD, DM, Rajendra Lingampalli, MD, DM, Saurabh Jindal, MD, DM, Piyush Somani, MD, DM VideoGIE Volume 2, Issue 8, Pages 199-200 (August 2017) DOI: 10.1016/j.vgie.2017.03.010 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Small ulcer over a submucosal bulge in anterior wall of first part of duodenum. B, EUS color Doppler view showing submucosal vessel with feeding perforator. C, EUS pulse Doppler view showing feeding artery of submucosal arteriole. D, Hemoclips were deployed on the Dieulafoy ulcer and epinephrine was injected. E, Deploying over-the-scope clip (OTSC) over the lesion. F, OTSC over the Dieulafoy ulcer with no further bleeding. OTSC, over-the-scope clip. VideoGIE 2017 2, 199-200DOI: (10.1016/j.vgie.2017.03.010) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions