A case of hemorrhagic gastric ulcer treated by endoscopic hemostasis with IABO

Abstract

A 62-year-old male was admitted to hospital the limb sensation and a weakness in the main complain. He had an emergency upper gastrointestinal endoscopy because a result of his blood test was severe anemia, Hb 4.9 ml/dL.

The endoscopy showed a hemorrhagic gastric ulcer with a huge exposed vessel.

On treatment with IVR, it was difficult for us to insert a catheter in his vessel because his vessels have abnormal running vessels. Therefore, we decided to insert an intra-aortic balloon occlusion (IABO) catheter on treatment with endoscopy. The IABO helped to control the ulcer bleeding and made an easier for us to complete an endoscopic hemostasis with coagulation.

Gradually over a period of two months, the ulcer was healed to normal mucosa. Such as this case, it is suggested that IABO is able to be completed an endoscopic hemostasis for a case that be predicted difficulty to hemostasis.