Endoscopic treatment of bleeding gastric ulcer causing gastric wall necrosis: A case report

doi:10.4240/wjgs.v16.i4.1203

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World Journal of Gastrointestinal Surgery

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1948-9366

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Case Report

World J Gastrointest Surg. Apr 27, 2024; 16(4): 1203-1207
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1203

Endoscopic treatment of bleeding gastric ulcer causing gastric wall necrosis: A case report

Wei-Feng Li, Ruo-Yu Gao, Jing-Wen Xu, Xi-Qiu Yu

Wei-Feng Li, Ruo-Yu Gao, Jing-Wen Xu, Xi-Qiu Yu, Department of Gastroenterology, Shenzhen Luohu People’s Hospital, Shenzhen 518020, Guangdong Province, China

Co-first authors: Wei-Feng Li and Ruo-Yu Gao.

Author contributions: Li WF, Gao RY and Xu JW prepared the figures and drafted the manuscript; Yu XQ were responsible for revising the manuscript.

Supported by Shenzhen Science and Technology Research and Development Fund, No. JSGG20210802153548040.

Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.

Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Xi-Qiu Yu, PhD, Doctor, Professor, Department of Gastroenterology, Shenzhen Luohu People’s Hospital, No. 47 Youyi Road, Luohu District, Shenzhen 518020, Guangdong Province, China. yuer200470@126.com

Received: December 27, 2023
Peer-review started: December 27, 2023
First decision: January 18, 2024
Revised: January 26, 2024
Accepted: March 4, 2024
Article in press: March 4, 2024
Published online: April 27, 2024

Core Tip

Core Tip: Gastric wall necrosis is a rare but dangerous complication of endoscopic treatment for peptic ulcer. This case report describes a 59-year-old male patient who presented with melena and was found to have a giant ulcer in the gastric antrum, which developed gastric wall necrosis after injection of sclerosant and tissue glue. We should consider other more effective methods of hemostasis to avoid gastric wall necrosis.