Bleeding due to slippage of elastic band during variceal ligation: successful use of Ankaferd blood stopper.
Ankaferd blood stopper (ABS) is a hemostatic agent that induces clot formation by a special protein network which mainly causes powerful erythrocyte aggregation. The use of topical ABS as a hemostatic agent has been approved in Turkey for the management of dermal, external post-surgical and post-dental surgery bleeding. ABS has been successfully used in Dieulafoy lesion and bleeding from gastrointestinal neoplasms. We present a patient with alcoholic cirrhosis who developed severe bleeding during an elective endoscopic variceal ligation (EVL) session due to immediate band slippage, in whom endoscopic topical application of ABS was associated with cessation of bleeding. The major advantages of ABS appear to be ease of use and lack of side effect.
Ozaslan
Ersan
E
Department of Gastroenterology, Numune Education and Research Hospital, Ankara, Turkey. er72@hotmail.com
Purnak
Tugrul
T
Yildiz
Ayla
A
Haznedaroglu
Ibrahim C
IC
D004932:Esophageal and Gastric Varices / Q000601:surgery; D006470:Hemorrhage / Q000188:drug therapy*; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D007431:Intraoperative Complications / Q000188:drug therapy*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D010936:Plant Extracts / Q000627:therapeutic use*
D006490:Hemostatics; D010936:Plant Extracts; C539751:ankaferd blood stopper
J Int Med Res. 2008 Jan-Feb;36(1):163-70
18304416
Hepatology. 2007 Sep;46(3):922-38
17879356
Am J Emerg Med. 2009 Jun;27(5):631.e1-2
19497484
Endoscopy. 1994 Jun;26(5):511-2
7956972
Endoscopy. 2008 Sep;40 Suppl 2:E262
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20005188
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Clin Appl Thromb Hemost. 2010 Aug;16(4):446-53
19833624
Dig Liver Dis. 2010 Mar;42(3):196-9
19540818
Endoscopy. 2005 Mar;37(3):275-6
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