Localizing spontaneously hemostatic colonic diverticular bleeding using VISCOCLEAR gel: A case report

Colonic diverticular bleeding is the most common type of gastrointestinal bleeding. We report a case of an 82-year-old man with a chief complaint of melena. Enhanced computed tomography showed multiple diverticula, and water-assisted colonoscopy could not help identify the diverticulum responsible f...

Full description

Saved in:
Bibliographic Details
Published in:Annals of medicine and surgery 2022-01, Vol.73, p.103141, Article 103141
Main Authors: Suto, Daisuke, Yoshida, Masashi, Otake, Takaaki, Ichiishi, Eiichiro, Sato, Kiichi, Osawa, Yosuke, Ebinuma, Hirotoshi, Odaira, Hironori, Suzuki, Yutaka, Kohgo, Yutaka
Format: Article
Language:English
Subjects:
Case Report
Colonic diverticular bleeding
Colonoscopy
Gastrointestinal bleeding
Hemostatic clipping
VISCOCLEAR
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Colonic diverticular bleeding is the most common type of gastrointestinal bleeding. We report a case of an 82-year-old man with a chief complaint of melena. Enhanced computed tomography showed multiple diverticula, and water-assisted colonoscopy could not help identify the diverticulum responsible for bleeding. We injected VISCOCLEAR, a novel gel formulation, into the digestive tract endoscopically and successfully localized the bleeding point. Moreover, the use of VISCOCLEAR secured a clear visual field with reduced glare, as seen in the digital endoscopic image. Subsequently, we performed hemostatic clipping. The course after the endoscopic treatment was unremarkable. In this case, we could identify the exposed bleeding vessels in the diverticulum using VISCOCLEAR and perform hemostatic clipping. We intend to evaluate the effectiveness of VISCOCLEAR further by analyzing a series of cases. •An 80-year-old man presented with melena and colonic diverticular bleeding.•VISCOCLEAR novel gel formulation helped successfully localize the bleeding point.•VISCOCLEAR helped secure a clear visual field with reduced glare.•The course after the endoscopic treatment was unremarkable.
ISSN:2049-0801
2049-0801
DOI:10.1016/j.amsu.2021.103141