Stomach wall slough and ulcer perforation following endoscopic injection hemostasis with polidocanol.
A case is reported of progressive inner layer slough of the stomach antrum resulting in free perforation following endoscopic injection hemostasis of ulcer bleeding using a total of 5 ml polidocanol. This rare complication necessitated gastric resection. Relevant etiologic factors favoring this type of tissue response to endoscopic treatment are discussed.
Meissner
K
K
Surgical Department, General Hospital, Tamsweg, Austria.
Jirikowski
B
B
D000368:Aged; D000369:Aged, 80 and over; D005753:Gastric Mucosa / Q000473:pathology; D016558:Hemostasis, Endoscopic / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000628:therapy*; D010439:Peptic Ulcer Perforation / Q000209:etiology*; D000077423:Polidocanol; D011092:Polyethylene Glycols; D011706:Pyloric Antrum / Q000473:pathology*; D012597:Sclerosing Solutions; D015911:Sclerotherapy / Q000009:adverse effects; D013276:Stomach Ulcer / Q000150:complications / Q000473:pathology
D012597:Sclerosing Solutions; D000077423:Polidocanol; D011092:Polyethylene Glycols