Clin Endosc.  2022 May;55(3):443-446. 10.5946/ce.2020.294.

Endoscopic hemostasis using an over-the-scope clip for massive bleeding after percutaneous endoscopic gastrostomy removal: a case report

• Moon SY
• Jung MK
• Heo J

• KMID: 2529967
• DOI: http://doi.org/10.5946/ce.2020.294

Abstract

Percutaneous endoscopic gastrostomy (PEG) is a common method for providing long-term enteral nutrition to patients. PEG tube placement and removal are relatively safe; generally, a PEG tube can be removed using gentle traction, and excessive bleeding is rare. The over-the-scope clip system is a new device that can be used for gastrointestinal hemostasis and for closing gastrointestinal fistulae. In the present case, a 68-year-old male patient had to remove the PEG tube because of persistent leakage around the PEG tube. Although it was gently removed using traction, incessant bleeding continued, with a Rockall score of 5 points, even after hemocoagulation was attempted. An over-the-scope clip device was used to achieve hemostasis and fistula closure.

Keyword

Bleeding; Gastrocutaneous fistula; Over-the-scope clip; Percutaneous endoscopic gastrostomy