Massively bleeding gastric pouch ulcer after silastic ring vertical gastroplasty successfully treated endoscopically: a report of two cases.
Two patients who developed massive bleeding from a gastric pouch ulcer are described. This rare complication occurred during the early postoperative course after silicone ring vertical gastroplasty (SRVG). In both cases the bleeding stopped after the ulcers were injected with epinephrine and alcohol. Both ulcers healed after 1 month of treatment with omeprazole (Losec). The probable etiology of this rare complication is discussed.
Kyzer
S
S
Department of Surgery, Rabin Medical Center (Golda Campus), Petah Tiqva, Israel.
Gelber
E
E
Rabinovich
Y
Y
Lurie
B
B
Binder
Y
Y
Chaimoff
C
C
D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D004837:Epinephrine / Q000627:therapeutic use; D000431:Ethanol / Q000627:therapeutic use; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D015391:Gastroplasty / Q000009:adverse effects*; D016558:Hemostasis, Endoscopic; D006801:Humans; D008297:Male; D009853:Omeprazole / Q000627:therapeutic use; D012597:Sclerosing Solutions / Q000627:therapeutic use; D014456:Ulcer / Q000628:therapy*
D000897:Anti-Ulcer Agents; D012597:Sclerosing Solutions; D000431:Ethanol; D009853:Omeprazole; D004837:Epinephrine