Details

Autor(en) / Beteiligte

• de Moura, Diogo T H
• de Moura, Eduardo G H
• Hirsch, Bruno S
• McCarty, Thomas R
• Rodela Silva, Gustavo L
• Rizk, Stéphanie I
• Thompson, Christopher C
• Hoff, Paulo M
• Hajjar, Ludhmila A

Titel

Endoscopic Vacuum Therapy for Duodenal Hemorrhage in Critically Ill Patients With COVID-19

Ist Teil von

• The American journal of gastroenterology, 2022-04, Vol.117 (4), p.688-688

Ort / Verlag

United States: Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins

Erscheinungsjahr

2022

Quelle

MEDLINE

Beschreibungen/Notizen

• EVT-related mechanisms including macrodeformation, microdeformation, changes in perfusion, exudate control, and gastric and biliopancreatic secretions clearance promote healing and may also be adapted for the treatment of refractory hemorrhage (4,5). [...]we applied these principles of EVT in 3 patients with COVID-19 on ECMO support and diffuse duodenal hemorrhage refractory to conventional endoscopic hemostatic therapies. [...]the device was connected to a vacuum machine (−125 mm Hg). Initial esophagogastroduodenoscopy demonstrated duodenal villous atrophy associated with diffuse bleeding, including active ulcers and visible vessels. [...]a modified EVT was performed.Table 1.