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Abstracts of the 22
nd
National Congress of Digestive Diseases / Digestive and Liver Disease 48S2 (2016) e67–e231
e221
Conclusions:
Hemospray, from these preliminary results, has been
effective for diffuse site of bleeding as gastric neoplasia, anastomosis
and ischemic colitis.
Table
(abstract P.18.3)
Anticoagulant/
antithromobotic
Previous
Additional
Mortality
Patient Age Sex ASA class drugs
Shock Site/cause of bleeding
interventions
modalities
Rebleeding (30 days)
1
66 M 3
Heparin
yes
Post-sphinterotomy bleeding
Adrenalin
no
no
no
2
56 M 4
Heparin
yes
Duodenal ulcer (IIb)
Adrenalin + clip
no
Angiography
no
and surgery
3
74 M 4
Heparin
yes
Gastro-jejunal anastomosis
Clip+ cianoacrilate cianoacrilate no
no
4
78 M 3
Heparin
yes
Gastric adenocarcinoma
no
no
Surgery for
no
curative purpose
after 7 days
5
72 M 3
Heparin
yes
Duodenal ulcer (Ia-Ib)
Adrenalin + OTSC OTSC
yes
yes
6
91 F
3
ASA
yes
Gastric adenocarcinoma
no
no
yes
yes
7
80 M 3
Warfarin
yes
Duodenal ulcer (Ib)
no
adrenalin
angiography
no
8
72 F
4
Heparin + ASA
yes
Ischemic pancolitis
Right emicolectomy
no
no
no
9
74 M 3
Ticlopidin
no
Metastatic gastric adenocarcinoma no
no
no
no
10
37 F
1
none
no
Post-sphinterotomy bleeding
no
adrenalin
no
no
11
56 M 4
ASA
yes
Metastatic gastric adenocarcinoma no
adrenalin
no
yes
12
57 M 4
Heparin
yes
Duodenal ulcers (Ia)
Adrenlin+clip+OTSC no
angiography
no
and surgery
13
93 F
2
Clopidogrel + ASA no
Esophagel ulcer (Ib)
no
Adrenalin
no
no