Published online Oct 16, 2022. doi: 10.4253/wjge.v14.i10.636
Peer-review started: May 4, 2022
First decision: June 16, 2022
Revised: June 24, 2022
Accepted: September 13, 2022
Article in press: September 13, 2022
Published online: October 16, 2022
Esophageal cancer is a common type of cancer and serious bleeding from esop
A 36-years old male patient with advanced esophageal cancer developed bleeding from the tumor following endoscopic stenting with a self-expanding metal stent. Due to the ineffectiveness of standard approaches, after a medical conference, the patient was treated with a novel method based on the use of a two-balloon catheter creating an isolated area in esophagus and locally dispersing hemostatic polysaccharide powder inside the isolated interior. Hemostasis was successful and subsequent endoscopic examination revealed the presence of organized clot and localized defect, which was coagulated in a planned manner.
The authors present a new catheter-based method of hemostasis of esophageal tumor bleeding.
Core Tip: We describe a novel method of managing difficult-to-treat condition using an original device/ catheter that we developed. Our experience of managing gastrointestinal and, in particular, esophageal bleeding suggests that treatment of such conditions is a major challenge with no readily available and reliably working solutions. Success depends on multiple factors, all subject to limitation of time available for decision-making and application of treatment methods. A major advantage of our method is its ease of use and ability to be deployed by physicians of all levels and in all hospital settings. We believe that our method can help save many lives.