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

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

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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 Dryer Cutout Thermostat 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 ALL IN ONE NUTRITIONAL SHAKE VANILLA Rockall score of 5 points, even after hemocoagulation was attempted.An over-the-scope clip device was used to achieve hemostasis and fistula closure.