title: Hemostasis by esophageal stent placement for management of esophageal tumor bleeding:a case report.
abstract: A 67-year-old male was diagnosed with advanced esophageal cancer. A computed tomography scan showed multiple intra-abdominal lymphadenopathies. Because the tumor was thought to be unresectable, we initiated chemotherapy. Twelve months later, the patient was admitted to our hospital because of hematemesis. Gastroduodenoscopy revealed oozing bleeding from the esophageal tumor. Hemostasis was not achieved with conservative treatment, and frequent blood transfusions were required. Endoscopic hemostasis was difficult to achieve because of the malignant esophageal stenosis. To treat the malignant esophageal stricture and esophageal tumor bleeding, we attempted to insert an esophageal covered self-expandable metallic stent. After the procedure, hemostasis was achieved by mechanical tamponade. Here we report a rare case of esophageal tumor bleeding that was managed with mechanical tamponade using an esophageal covered self-expandable metallic stent.
authors.affiliation: Department of Gastroenterology, Suzuka General Hospital.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Isono
authors.forename: Tomonori
authors.initials: T
authors.lastname: Saito
authors.forename: Tomomasa
authors.initials: T
authors.lastname: Tochio
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kumazawa
authors.forename: Hiroki
authors.initials: H
authors.lastname: Tanaka
authors.forename: Shimpei
authors.initials: S
authors.lastname: Matsusaki
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Sase
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okano
authors.forename: Youichirou
authors.initials: Y
authors.lastname: Baba
authors.forename: Katsumi
authors.initials: K
authors.lastname: Mukai
mesh_terms: D004938:Esophageal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004940:Esophageal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D016558:Hemostasis, Endoscopic; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed