title: The use of hemospray in portal hypertensive bleeding; a case series.
abstract: Hemospray is a haemostatic agent licensed for endoscopic haemostasis of non-variceal upper gastrointestinal bleeding (NVUGIB) in Europe and Canada. Hemospray has been shown to be safe and effective in achieving haemostasis in bleeding peptic ulcers in a prospective clinical study and several further case series have described the use of hemospray in other non-variceal causes of gastrointestinal bleeding. Portal hypertensive gastropathy and colopathy are common in patients with portal hypertension. As hemospray is an easy to apply, non-contact method, which can cover large areas of mucosa, it may be of benefit in acute non-variceal portal hypertensive bleeding. We present data from the first four consecutive patients presenting to our institution with acute haemorrhage secondary to non-variceal diffuse portal hypertensive bleeding treated with hemospray.
authors.affiliation: Department of Gastroenterology, Glasgow Royal Infirmary, United Kingdom. Electronic address: Lynsmith1@nhs.net.
authors.forename: L A
authors.initials: LA
authors.lastname: Smith
authors.affiliation: Department of Gastroenterology, Glasgow Royal Infirmary, United Kingdom.
authors.forename: A J
authors.initials: AJ
authors.lastname: Morris
authors.affiliation: Department of Gastroenterology, Glasgow Royal Infirmary, United Kingdom.
authors.forename: A J
authors.initials: AJ
authors.lastname: Stanley
mesh_terms: D000368:Aged; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000379:methods; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D008903:Minerals / Q000008:administration & dosage*; D011208:Powders / Q000008:administration & dosage
chemical_list: D006490:Hemostatics; D008903:Minerals; D011208:Powders; C581750:hemospray
keywords: Endoscopic hemostasis; Gastrointestinal bleeding; Portal hypertension