Routine use of Hemospray for gastrointestinal bleeding: prospective two-center experience in Switzerland.
Hemospray (Cook Medical, Winston-Salem, North Carolina, USA) is a hemostatic agent recently introduced for the management of upper gastrointestinal bleeding (GIB). To date, there is little experience with this fairly new hemostatic tool. The aim of this case series was to reflect the use and effectiveness of Hemospray as a treatment option in GIB in everyday clinical practice at two tertiary referral centers. Consecutive patients (n = 16) with active GIB of various origins were treated with Hemospray. The rate of successful initial hemostasis was 93.75 % (15 /16; salvage therapy 92.85 % [13/14]; monotherapy 100 % [2 /2]). The rebleeding rate within 7 days was 12.5 % (2/16). One patient, in whom interventional radiology also failed, had to undergo surgery as salvage therapy. The effectiveness of Hemospray in the management of GIB in various clinical situations is promising. Future multicenter randomized prospective trials for clearly defined bleeding situations are needed for greater generalizability of case series findings.
Department of Gastroenterology and Hepatology, Kantonspital St. Gallen, Switzerland.
Michael C
MC
Sulz
Department of Gastroenterology and Hepatology, Kantonspital St. Gallen, Switzerland.
Remus
R
Frei
Department of Gastroenterology and Hepatology, Kantonspital St. Gallen, Switzerland.
Christa
C
Meyenberger
Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital of Zurich, Switzerland.
Peter
P
Bauerfeind
Department of Gastroenterology and Hepatology, Kantonspital St. Gallen, Switzerland.
Gian-Marco
GM
Semadeni
Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital of Zurich, Switzerland.
Christoph
C
Gubler
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008903:Minerals / Q000627:therapeutic use*; D011446:Prospective Studies; D012008:Recurrence; D016896:Treatment Outcome
D006490:Hemostatics; D008903:Minerals; C581750:hemospray