Over-the-scope clip closure of gastric endoscopic submucosal dissection-induced ulcer in a patient with bleeding tendency

Naoto Iwai; Takashi Okuda; Toshifumi Tsuji; Hiroaki Sakai; Kohei Oka; Junichi Sakagami; Keizo Kagawa

doi:10.1002/jgh3.12815

Over-the-scope clip closure of gastric endoscopic submucosal dissection-induced ulcer in a patient with bleeding tendency

JGH Open. 2022 Sep 15;6(11):799-800. doi: 10.1002/jgh3.12815. eCollection 2022 Nov.

Authors

Naoto Iwai^{1

2}, Takashi Okuda¹, Toshifumi Tsuji¹, Hiroaki Sakai¹, Kohei Oka¹, Junichi Sakagami^{1

2}, Keizo Kagawa^{1

2}

Affiliations

¹ Department of Gastroenterology and Hepatology Fukuchiyama City Hospital Fukuchiyama Japan.
² Molecular Gastroenterology and Hepatology Kyoto Prefectural University of Medicine Graduate School of Medical Science Kyoto Japan.

Abstract

A man in his 70s, with a history of dementia and aplastic anemia, was diagnosed with a gastric tumor. Thrombocytopenia due to aplastic anemia may cause bleeding after endoscopic submucosal dissection. Then, ulcer closure using the over-the-scope clip system was performed for prevention of post-operative bleeding.

Keywords: endoscopic submucosal dissection; over‐the‐scope clip; thrombocytopenia.