Application of cyanoacrylate in difficult-to-arrest acute non-variceal gastrointestinal bleeding

Krzysztof Kurek; Andrzej Baniukiewicz; Agnieszka Świdnicka-Siergiejko; Andrzej Dąbrowski

doi:10.5114/wiitm.2014.44169

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Videosurgery and Other Miniinvasive Techniques

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abstract:

Case report

Application of cyanoacrylate in difficult-to-arrest acute non-variceal gastrointestinal bleeding

Krzysztof Kurek

,

Andrzej Baniukiewicz

,

Agnieszka Świdnicka-Siergiejko

,

Andrzej Dąbrowski

Videosurgery Miniinv 2014; 9 (3): 489–493

DOI: https://doi.org/10.5114/wiitm.2014.44169

Online publish date: 2014/07/22

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Gastrointestinal bleeding is a common medical emergency. Although endoscopic treatment is effective in controlling non-variceal upper gastrointestinal bleeding, in cases of persistent bleeding radiological or surgical interventions are required. Application of cyanoacrylate for treatment of difficult-to-arrest non-variceal upper gastrointestinal bleeding is poorly investigated. We describe patients in whom cyanoacrylate for acute non-variceal gastrointestinal bleeding was used to stop the bleeding after failure of conventional endoscopic treatment. Five patients were treated with cyanoacrylate application (injection and/or spraying) for persistent bleeding (duodenal ulcer in 3, gastric ulcer in 1 and gastric Dieulafoy’s lesion in 1) despite conventional endoscopic therapies. Hemostasis was achieved in all patients (100%). One patient (20%) developed recurrent bleeding 4 days after initial treatment. No complications or adverse events attributed to the cyanoacrylate application during the follow-up period of 57 days were observed. Application of cyanoacrylate is a safe and effective method to achieve immediate hemostasis when conventional endoscopic treatment is unsuccessful. This technique is easy to perform and should be considered in cases of patients with difficult-to-arrest acute non-variceal upper gastrointestinal bleeding.

keywords:

Application of cyanoacrylate in difficult-to-arrest acute non-variceal gastrointestinal bleeding

Krzysztof Kurek , Andrzej Baniukiewicz , Agnieszka Świdnicka-Siergiejko , Andrzej Dąbrowski

cyanoacrylate, endoscopic therapy, endoscopic therapy, tissue adhesives

Krzysztof Kurek

,

Andrzej Baniukiewicz

,

Agnieszka Świdnicka-Siergiejko

,

Andrzej Dąbrowski