title: [An elderly case of post-bulbar Dieulafoy's ulcer].
abstract: The case is a 79-year-old man who came to our hospital with melena as chief complaint. Emergency endoscopy showed spurting bleeding from a small ulcer. We diagnosed as Post-Bulbar Dieulafoy's ulcer and performed hemostatic procedure with hemostatic clips. The forth endoscopy (7 days after admission) showed fresh clot and oozing bleeding after the third hemostatic clipping. Although we performed hemostatic procedure with the injection therapy of hypertonic saline epinephrine solution (HSE). The effective hemostatic procedure is discussed with reference to some related literature.
authors.affiliation: Department of Internal Medicine, Takagi Hospital.
authors.forename: K
authors.initials: K
authors.lastname: Nishida
authors.forename: S
authors.initials: S
authors.lastname: Kawazoe
authors.forename: M
authors.initials: M
authors.lastname: Higashijima
authors.forename: T
authors.initials: T
authors.lastname: Yanaga
authors.forename: K
authors.initials: K
authors.lastname: Takagi
authors.forename: R
authors.initials: R
authors.lastname: Akashi
mesh_terms: D000368:Aged; D004381:Duodenal Ulcer / Q000150:complications / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000295:instrumentation; D006801:Humans; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000628:therapy*