scholarly journals A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal Hemorrhage

2020 ◽  
Vol 14 (2) ◽  
pp. 361-366
Author(s):  
Yaser Khalid ◽  
Neethi Dasu ◽  
Herman Suga ◽  
Michael Itidiare ◽  
Richard Walters
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal Bleeding ◽  
Treatment Options ◽  
Upper Gastrointestinal Hemorrhage ◽  
Duodenal Adenoma ◽  
Tubulovillous Adenoma ◽  
Rare Finding ◽  
Duodenal Polyps ◽  
Rare Manifestation ◽  
Upper Gastrointestinal

Duodenal polyps have been reported in <1.5% of individuals who undergo esophagogastroduodenoscopy (EGD). We present a case of a 76-year-old male with recurrent hematemesis who was found to have an intestinal-type, pedunculated tubulovillous adenoma in the descending duodenum. An isolated occurrence of nonampullary sporadic duodenal adenoma is a rare finding. Presentation as an upper gastrointestinal hemorrhage is also extremely uncommon. Our patient’s polyp was pedunculated, which is atypical, because most sporadic duodenal adenomas are morphologically flat or sessile. The purpose of this case is to present a rare cause of upper gastrointestinal bleeding and to depict characteristics of an isolated duodenal tubulovillous adenoma and its treatment options.

scholarly journals Endotherapy for Nonvariceal Upper Gastrointestinal Hemorrhage

2021 ◽  
Vol 12 (02) ◽  
pp. 078-092
Author(s):  
Chhagan L. Birda ◽  
Antriksh Kumar ◽  
Jayanta Samanta
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Surgical Intervention ◽  
Thermal Therapy ◽  
Upper Gastrointestinal Hemorrhage ◽  
Transfusion Strategy ◽  
Related Factors ◽  
Primary Hemostasis ◽  
Mechanical Therapy ◽  
Definitive Management ◽  
Upper Gastrointestinal

AbstractNonvariceal upper gastrointestinal hemorrhage (NVUGIH) is a common GI emergency with significant morbidity and mortality. Triaging cases on the basis of patient-related factors, restrictive blood transfusion strategy, and hemodynamic stabilization are key initial steps for the management of patients with NVUGIH. Endoscopy remains a vital step for both diagnosis and definitive management. Multiple studies and guidelines have now defined the optimum timing for performing the endoscopy after hospitalization, to better the outcome. Conventional methods for achieving endoscopic hemostasis, such as injection therapy, contact, and noncontact thermal therapy, and mechanical therapy, such as through-the-scope clips, have reported to have 76 to 90% efficacy for primary hemostasis. Newer modalities to enhance hemostasis rates have come in vogue. Many of these modalities, such as cap-mounted clips, coagulation forceps, and hemostatic powders have proved to be efficacious in multiple studies. Thus, the newer modalities are recommended not only for management of persistent bleed and recurrent bleed after failed initial hemostasis, using conventional modalities but also now being advocated for primary hemostasis. Failure of endotherapy would warrant radiological or surgical intervention. Some newer tools to optimize endotherapy, such as endoscopic Doppler probes, for determining flow in visible or underlying vessels in ulcer bleed are now being evaluated. This review is focused on the technical aspects and efficacy of various endoscopic modalities, both conventional and new. A synopsis of the various studies describing and comparing the modalities have been outlined. Postendoscopic management including Helicobacter pylori therapy and starting of anticoagulants and antiplatelets have also been outlined.

scholarly journals A Rare Cause of Acute Upper Gastrointestinal Hemorrhage

2009 ◽  
Vol 3 (3) ◽  
pp. 400-403
Author(s):  
T.S. de Vries Reilingh ◽  
V.A. Postma ◽  
T.J. Aufenacker ◽  
L.J.A. Strobbe ◽  
C. Rosman
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal
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