Document Type

Article

Publication Date

8-2023

Identifier

DOI: 10.1097/PG9.0000000000000336; PMCID: PMC10435046

Abstract

Although the vast majority of recognized pediatric upper gastrointestinal bleeding (GIB) resolves spontaneously, gastrointestinal hemorrhage is the most common indication for urgent or emergent therapeutic endoscopy in pediatric practice. The application of hemostatic powders, including TC-325 (Hemospray, Cook Medical, Winston-Salem, NC, USA), has shown considerable impact on the control of acute bleeding, with the advantage of potentially covering an extensive area and requiring less technical expertise. We report a case of transient adherence of an esophagogastroduodenoscopy following Hemospray application in a 22-month-old with upper GIB. Our experience does not detract from the significant gains in the management of pediatric GIB from Hemospray; however, it does raise a cautionary note toward the application technique utilized.

Journal Title

JPGN Rep

Volume

4

Issue

3

First Page

336

Last Page

336

Keywords

complications; endoscopy; gastrointestinal bleeding; hemostatic powder

Comments

This is an open access article distributed under the terms of the Creative Commons CC BY license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Publisher's Link: https://journals.lww.com/jpgnr/fulltext/2023/08000/don_t_look_back_and_spray__risk_of_endoscope.21.aspx

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