Clin Endosc.  2021 May;54(3):441-442. 10.5946/ce.2020.159.

Bleeding on the Edge—The Use of Hemostatic Powder for Treating a Bleeding Hypopharyngeal Tumor

Affiliations
  • 1Division of Gastroenterology and Hepatology, National University Hospital, Singapore
  • 2Department of Otorhinolaryngology, National University Hospital, Singapore
  • 3Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore


Figure

  • Fig. 1. Axial and coronal sections showing the position of the tumor in the hypopharynx (outlined in light blue) on computed tomography.

  • Fig. 2. HemosprayTM images in the hypopharynx. (A) Bleeding hypopharyngeal tumor with the overlying blood clot. (B) The tumor is revealed in the upper left after careful flushing away of the clot (note the nasogastric tube in the bottom right). (C) The HemosprayTM catheter advanced through the gastroscope. (D) Successful application of the hemospray with hemostasis.


Reference

1. Arena M, Masci E, Eusebi LH, et al. Hemospray for treatment of acute bleeding due to upper gastrointestinal tumours. Dig Liver Dis. 2017; 49:514–517.
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2. Sinha R, Lockman KA, Church NI, Plevris JN, Hayes PC. The use of hemostatic spray as an adjunct to conventional hemostatic measures in high-risk nonvariceal upper GI bleeding (with video). Gastrointest Endosc. 2016; 84:900–906.e3.
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3. Yau AH, Ou G, Galorport C, et al. Safety and efficacy of Hemospray® in upper gastrointestinal bleeding. Can J Gastroenterol Hepatol. 2014; 28:72–76.
4. Sakai CM, Duarte RB, Baracat FI, Baracat R, de Moura EGH. Endoscopic treatment of upper-GI ulcer bleeding with hemostatic powder spray. VideoGIE. 2017; 2:12–13.
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