Gastric ulcer treated using an elastic traction ring combined with clip: A case report  

作　　者：Fei Pang Yan-Jun Song Yin-He Sikong Ai-Jun Zhang Xiu-Li Zuo Ru-Yuan Li 

机构地区：[1]Department of Gastroenterology,Qilu Hospital(Qingdao),Cheeloo College of Medicine,Shangdong University,Qingdao 266035,Shandong Province,China [2]Department of Hematology,Qilu Hospital(Qingdao),Cheeloo College of Medicine,Shangdong University,Qingdao 266035,Shandong Province,China [3]Department of Gastroenterology,Qilu Hospital,Cheeloo College of Medicine,Shangdong University,Jinan 250012,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2022年第31期11574-11578,共5页世界临床病例杂志

摘　　要：BACKGROUND There is a high annual incidence of acute,nonvariceal upper gastrointestinal bleeding in Chinese adults.Early endoscopic intervention can reduce rates of rebleeding,surgery,and mortality.The metal clip is the most common method for establishing homeostasis;however,it possesses several limitations.In patients with bleeding secondary to large gastric ulcers,the clip will often fail to stop the bleeding.This article highlights the use of an elastic traction ring as a novel hemostatic method for patients with upper gastrointestinal bleeding.CASE SUMMARY An elderly male presented to the emergency room with complaints of hematemesis and melena.Endoscopic examination revealed an ulcer(Forrest IIa)in the lesser curvature of the gastric antrum.Six tissue clips and one elastic traction ring were inserted into the stomach cavity to suture the ulcer.The patient recovered quickly without postoperative gastrointestinal bleeding.Two months later,the patient's ulcer was significantly healed.CONCLUSION To our best knowledge,this is the first report to demonstrate the safety and efficacy of elastic traction rings for upper gastrointestinal bleeding.Elastic traction rings should be considered a routine therapeutic modality for patients with upper gastrointestinal bleeds.

关 键 词：Gastric ulcer Elastic traction ring Acute nonvariceal upper gastrointestinal bleeding Endoscopic hemostasia Tissue clips Case report 

分 类 号：R573.1[医药卫生—消化系统]