Use of hemostatic powder in bleeding portal hypertensive gastropathy

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Presentation transcript:

Use of hemostatic powder in bleeding portal hypertensive gastropathy Sauid Ishaq, FRCP, Toshio Kuwai, PhD, Keith Siau, MRCP VideoGIE Volume 2, Issue 9, Pages 238-240 (September 2017) DOI: 10.1016/j.vgie.2017.06.004 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Diffuse bleeding at the gastric antrum. VideoGIE 2017 2, 238-240DOI: (10.1016/j.vgie.2017.06.004) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 A, Brisk oozing from mucosa and snakeskin appearance. B, Diffuse bleeding circumferential with no focal point of bleeding. C, Water jet to wash the area. D, Diffuse bleeding despite washing. E, Hemospray catheter tip should be kept dry and advanced until 1 to 2 cm from mucosa, and not in contact with blood. F, Hemospray is applied in bursts of 1 to 2 seconds. G, After 1 application of Hemospray. H, Second treatment. I, Hemostasis after application of Hemospray. VideoGIE 2017 2, 238-240DOI: (10.1016/j.vgie.2017.06.004) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions