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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 ACG+Case+Rep+J 2013 ; 1 (1): 7-9 Nephropedia Template TP
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Hemospray for Life-Threatening Ulcer Bleeding: First Case Report in the United States #MMPMID26157807
Sargon PJ; Laurie TJ
ACG Case Rep J 2013[Oct]; 1 (1): 7-9 PMID26157807show ga
A 13-year-old boy with metastatic rhabdomyosarcoma presented with biliary obstruction requiring ERCP for stent placement. Re-evaluation after recurrence of symptoms revealed external migration of the stent with formation of a contralateral wall bleeding duodenal ulcer. Endoscopic therapy was not feasible and bleeding persisted despite medical therapy and embolization. Given his life-threatening condition, approval for the use of Hemospray (Cook Medical, Winston-Salem, NC, USA) was obtained. Hemospray was applied to the visualized bleeding sites with subsequent hemostasis. Patient tolerated the procedure well. This is the first use of Hemospray in the United States outside of a clinical trial.