Abstract
A 71-year-old man was referred to our hospital with gastrointestinal (GI) bleeding. At the previous hospital, where he had presented with hematemesis and melena, even repeated esophagogastroduodenoscopy (EGD) and colonoscopy could not identify the source of bleeding.
Initially, we performed EGD, because his present history suggested upper GI bleeding. However, we could not identify the bleeding point. Immediately thereafter, we performed trans-oral double-balloon endoscopy (DBE) , based on the suspicion of jejunal bleeding.
This examination revealed an exposed vessel with pulsatile bleeding in a jejunal diverticulum located about 95 cm from the incisors, and we successfully performed endoscopic hemostasis with hemoclips.
This experience suggested the importance of emergency DBE for patients with upper GI bleeding in whom the source of bleeding cannot be detected by EGD.
