Hemostasis of massive bleeding from esophageal tumor: A case report

• Published in: World journal of gastrointestinal endoscopy 2022, Vol.14 (10), p.636-641
• Main Authors: Kashintsev, Aleksei A, Rusanov, Dmitriy S, Antipova, Mariya V, Anisimov, Sergey V, Granstrem, Oleg K, Kokhanenko, Nikolai Yu, Medvedev, Konstantin V, Kutumov, Eldar B, Nadeeva, Anastasya A, Proutski, Vitali
• Format: Report
• Language: English
• ISSN: 1948-5190; 1948-5190
• DOI: 10.4253/wjge.v14.i10.636

BACKGROUNDEsophageal cancer is a common type of cancer and serious bleeding from esophageal tumors can occur in routine clinical practice. The arrest of bleeding from esophageal tumor is not a trivial task, which can sometimes require nonstandard solutions. We report a case of successful hemostasis of massive bleeding from esophageal tumor performed by a novel two-balloon catheter inserted endoscopically, with a local hemostatic treatment applied. CASE SUMMARYA 36-years old male patient with advanced esophageal cancer developed bleeding from the tumor following endoscopic stenting with a self-expanding metal stent. Due to the ineffectiveness of standard approaches, after a medical conference, the patient was treated with a novel method based on the use of a two-balloon catheter creating an isolated area in esophagus and locally dispersing hemostatic polysaccharide powder inside the isolated interior. Hemostasis was successful and subsequent endoscopic examination revealed the presence of organized clot and localized defect, which was coagulated in a planned manner. CONCLUSIONThe authors present a new catheter-based method of hemostasis of esophageal tumor bleeding.