Polipektomi sonrası kanamada endoskopik bant ligasyonunun kullanımı

Mehmet BEKTAŞ, Onur KESKİN, Esin KORKUT, Yusuf ÜSTÜN, Vikas GUPTA, Hatice ANIKTAR, Hülya ÇETİNKAYA, Kadir BAHAR, İrfan SOYKAN
2015 Endoskopi Gastrointestinal  
A 61-year-old woman underwent colonoscopy to investigate lower gastrointestinal bleeding. A pedunculated polyp with a long stalk was identified in the sigmoid colon, and snare polypectomy was performed. Postpolypectomy arterial bleeding occurred after the resection, and the bleeding was stopped with immediate epinephrine and sclerosing agent injection. However, rectal bleeding started again three hours after polypectomy. In the repeat colonoscopic investigation, the site of the bleeding was
more » ... irmed at the stalk of the removed polyp. Endoscopic band ligation of the stalk was performed using a gastroscope and ligator instrument, and bleeding from the stalk was successfully controlled. Alt gastrointestinal kanama flüphesiyle kolonoskopi yap›lan 61 yafl›nda kad›n hastada sigmoid kolonda uzun sapl› bir polip saptand›. Polipektomi yap›lan hastada ifllem sonras› ciddi arteriyel kanama olmas› üzerine ifllem bölgesine acilen epinefrin ve sklerozan ajan uygulanarak kanama kontrolü sa¤land›. 3 saat sonra hastan›n rektal kanamas›n›n tekrarlamas› üzerine kontrol kolonoskopide polip sap›ndan kanaman›n devam etti¤i gözlendi. Bunun üzerine polip sap›na gastroskop ile endoskopik bant ligasyon uyguland›. Bu uygulama ile kanama baflar›l› bir flekilde durdurulabildi. Anahtar kelimeler: Bant ligasyon, polipektomi, hemoraji U Us se e o of f e en nd do os sc co op pi ic c b ba an nd d l li ig ga at ti io on n f fo or r t tr re ea at tm me en nt t o of f p po os st tp po ol ly yp pe ec ct to om my y h he em mo or rr rh ha ag ge e Polipektomi sonras› kanamada endoskopik bant ligasyonunun kullan›m›
doi:10.17940/endoskopi.74854 fatcat:cj367hxpwvhkhdkzefdiig2ghe