Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Successful Hemostasis by Double-balloon Enteroscopy with Mini-laparotomy for Small-bowel Hemorrhage in a Patient with LVAD: A Case Report
Shun Sasaki, Yasuhiro Akazawa, Rennosuke Nakamoto, Ryotaro Uema, Takeo Yoshihara, Tsuyoshi Hata, Daisuke Nakamura, Takuji Kawamura, Yoshiki Tsujii, Takayuki Ogino, Fusako Sera, Daisuke Yoshioka, Takafumi Oka, Isamu Mizote, Tomohito Ohtani, Shigeru Miyagawa, Yasushi Sakata
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Keywords: left ventricular-assist device, small-bowel bleeding, mini-laparotomy, double-balloon enteroscopy
JOURNAL OPEN ACCESS Advance online publication

Article ID: 5451-25

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Abstract

A male patient in his 60s with advanced heart failure and a HeartMate3 left ventricular assist device (LVAD) was admitted to our hospital for the sixth time in one year due to recurrent small-bowel bleeding (SBB). Nine months after admission, conservative treatment failed to achieve stable hemostasis. Gastroenterologists and surgeons performed double-balloon enteroscopy with mini-laparotomy and achieved complete hemostasis with endoscopic clipping and surgical suturing from the serosal side to multiple bleeding sites. The patient was discharged without any signs of rebleeding. In conclusion, our method represents an effective strategy for managing challenging SBB cases in patients with LVAD.

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© 2025 by The Japanese Society of Internal Medicine

This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
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