Li WF, Gao RY, Xu JW, Yu XQ. Endoscopic treatment of bleeding gastric ulcer causing gastric wall necrosis: A case report. World J Gastrointest Surg 2024; 16(4): 1203-1207 [PMID: 38690061 DOI: 10.4240/wjgs.v16.i4.1203]
Corresponding Author of This Article
Xi-Qiu Yu, PhD, Doctor, Professor, Department of Gastroenterology, Shenzhen Luohu People’s Hospital, No. 47 Youyi Road, Luohu District, Shenzhen 518020, Guangdong Province, China. yuer200470@126.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Apr 27, 2024; 16(4): 1203-1207 Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1203
Endoscopic treatment of bleeding gastric ulcer causing gastric wall necrosis: A case report
Wei-Feng Li, Ruo-Yu Gao, Jing-Wen Xu, Xi-Qiu Yu
Wei-Feng Li, Ruo-Yu Gao, Jing-Wen Xu, Xi-Qiu Yu, Department of Gastroenterology, Shenzhen Luohu People’s Hospital, Shenzhen 518020, Guangdong Province, China
Co-first authors: Wei-Feng Li and Ruo-Yu Gao.
Author contributions: Li WF, Gao RY and Xu JW prepared the figures and drafted the manuscript; Yu XQ were responsible for revising the manuscript.
Supported byShenzhen Science and Technology Research and Development Fund, No. JSGG20210802153548040.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xi-Qiu Yu, PhD, Doctor, Professor, Department of Gastroenterology, Shenzhen Luohu People’s Hospital, No. 47 Youyi Road, Luohu District, Shenzhen 518020, Guangdong Province, China. yuer200470@126.com
Received: December 27, 2023 Peer-review started: December 27, 2023 First decision: January 18, 2024 Revised: January 26, 2024 Accepted: March 4, 2024 Article in press: March 4, 2024 Published online: April 27, 2024 Processing time: 116 Days and 19.7 Hours
Abstract
BACKGROUND
Gastric wall necrosis is a rare complication of endoscopic treatment for bleeding gastric ulcer, which may exacerbate the patient’s condition once it occurs and may even require surgical intervention for treatment.
CASE SUMMARY
A 59-year-old man was admitted to our department with melena. Endoscopy revealed a giant ulcer in the gastric antrum with a visible vessel in its center, which was treated with sclerosants and tissue glue injection and resulted in necrosis of the gastric wall.
CONCLUSION
Injection of sclerosants and tissue glue may lead to gastric wall necrosis, which is a serious complication. Therefore, before administering this treatment to patients, we should consider other more effective methods of hemostasis to avoid gastric wall necrosis.
Core Tip: Gastric wall necrosis is a rare but dangerous complication of endoscopic treatment for peptic ulcer. This case report describes a 59-year-old male patient who presented with melena and was found to have a giant ulcer in the gastric antrum, which developed gastric wall necrosis after injection of sclerosant and tissue glue. We should consider other more effective methods of hemostasis to avoid gastric wall necrosis.
