TC-325-Applikation (Hemospray^®-Device) zur endoskopischen Blutstillung bei Tumorblutungen – zwei Kasuistiken

Zusammenfassung

Die häufigste Indikation zur Notfallendoskopie im klinischen Alltag stellen gastrointestinale Blutungen dar. Mit der Markteinführung von Hemospray^® (Cook Medical, Winston Salem, NC) im März 2013 steht eine neue Substanz zur Blutstillung nicht-variköser gastrointestinaler Blutungen im oberen Gastrointestinaltrakt zur Verfügung, die die etablierten Methoden zur Behandlung von gastrointestinalen Blutungen (Injektion, mechanische Blutstillung, thermische Verfahren) sinnvoll ergänzen kann. Wir berichten über zwei Patienten, die im Rahmen von Notfallendoskopien bei Tumorblutungen erfolgreich mit Hemospray^® behandelt wurden.

Abstract

The most frequent indication in emergency endoscopy are cases with gastrointestinal bleeding. Since the introduction of Hemospray^® (Cook Medical, Winston Salem, NC) in march 2013a new agent for the treatment of non-variceal bleeding in the upper gastrointestinal tract has been offered to endoscopists, which is going to amend the well-established endoscopic modalities of hemostasis (injection methods, mechanical hemostasis and thermal coagulation). We report on two patients, who were successfully treated with Hemospray undergoing emergency endoscopy because of malignant bleeding lesions.

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