Mehmet BEKTAŞ, Onur KESKİN, Esin KORKUT, Yusuf ÜSTÜN, Vikas GUPTA, Hatice ANIKTAR, Hülya ÇETİNKAYA, Kadir BAHAR, İrfan SOYKAN

Polipektomi sonrası kanamada endoskopik bant ligasyonunun kullanımı

Alt gastrointestinal kanama şüphesiyle kolonoskopi yapılan 61 yaşında kadın hastada sigmoid kolonda uzun saplı bir polip saptandı. Polipektomi yapılan hastada işlem sonrası ciddi arteriyel kanama olması üzerine işlem bölgesine acilen epinefrin ve sklerozan ajan uygulanarak kanama kontrolü sa¤landı. 3 saat sonra hastanın rektal kanamasının tekrarlaması üzerine kontrol kolonoskopide polip sapından kanamanın devam etti¤i gözlendi. Bunun üzerine polip sapına gastroskop ile endoskopik bant ligasyon uygulandı. Bu uygulama ile kanama başarılı bir şekilde durdurulabildi.

Anahtar Kelimeler:

Bant ligasyon, polipektomi, hemoraji

Use of endoscopic band ligation for treatment of postpolypectomy hemorrhage

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 confirmed 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.

Keywords:

Band ligation, polypectomy, hemorrhage,

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