Department of Gastroenterology, Gifu Municipal Hospital, Gifu 5008513, Japan.
Medicina (Kaunas). 2023 Oct 19;59(10):1861. doi: 10.3390/medicina59101861.
Although endoscopic necrosectomy (EN) is a less invasive therapy for walled-off necrosis (WON), arterial bleeding can occur during EN. A 60-year-old man with infected WON underwent the EN procedure. During EN, the artery in the WON cavity was injured. As the artery was directly visible, we grasped it using a Coagrasper and coagulated the bleeding point. However, the bleeding was aggravated after coagulation owing to an extension of the vessel damage. The entire vessel was grasped, and complete hemostasis was achieved. The Coagrasper is useful for managing arterial bleeding; however, it should be employed only on the basis of its characteristics and in suitable scenarios.
虽然内镜下坏死组织清除术（EN）是治疗隔离性坏死（WON）的一种微创疗法，但在 EN 过程中可能会发生动脉出血。一位 60 岁的感染性 WON 患者接受了 EN 手术。在 EN 过程中，WON 腔中的动脉受到损伤。由于动脉直接可见，我们使用 Coagrasper 抓住它并对出血点进行了凝血。然而，由于血管损伤的延伸，凝血后出血加剧。整个血管被抓住，实现了完全止血。Coagrasper 可用于治疗动脉出血；然而，它应该根据其特点和适用场景来使用。
