Abstract
A 68-year-old man was admitted to our hospital with the chief complaint of melena. At 64 and 67 years of age, he was diagnosed with duodenal hemorrhage, but endoscopic operations were not performed because the bleeding point could not be detected. This time, the bleeding point could not be identified using a front-viewing endoscopic examination. However, by changing the method to a side-viewing endoscopic examination, the bleeding point was detected in a duodenal diverticulum. After attaching a transparent hood to the front-viewing endoscope, endoscopic clipping was successfully performed.
For the identification of the bleeding point, in our case a side-viewing endoscope and a transparent hood were useful. Among the endoscopic hemostatic methods, the introduction of a hemostatic clip is the procedure with lowest risks. In our case, hemostasis was achieved with the effective use of endoscopic devices, and apparent complications were avoided.
