A CASE OF TREATMENT OF BLEEDING DUODENAL DIVERTICULUM USING A TRANSPARENT HOOD ON ENDOSCOPY

Abstract

A 79-year-old female patient, who had been treated for hypertension, was admitted with complaints of melena and epigastralgia. We performed gastroduodenal endoscopies several times to know the cause of the symptoms. Finally, we recognized a duodenal diverticulum on the anal side at the papilla of Vater with active bleeding. We mounted a transparent hood at the tip of endoscopy, and clipped active bleeding source of the diverticulum. We reported that the transparent hood is useful for the diagnosis and also for the treatment of bleeding duodenal diverticulum. Furthermore, the use of the transparent hood makes clipping easier.