• Medicina · Oct 2023

    Case Reports

    The Usefulness and Reliability of Coagrasper for Artery Bleeding during Endoscopic Necrosectomy.

    • Yuki Ito, Mitsuru Okuno, Keisuke Iwata, Masahiro Kawade, Yuhei Iwasa, Akihiko Sugiyama, Youichi Nishigaki, and Eiichi Tomita.
    • Department of Gastroenterology, Gifu Municipal Hospital, Gifu 5008513, Japan.
    • Medicina (Kaunas). 2023 Oct 19; 59 (10).

    AbstractAlthough endoscopic necrosectomy (EN) is a less invasive therapy for walled-off necrosis (WON), arterial bleeding can occur during EN. A 60-year-old man with infected WON underwent the EN procedure. During EN, the artery in the WON cavity was injured. As the artery was directly visible, we grasped it using a Coagrasper and coagulated the bleeding point. However, the bleeding was aggravated after coagulation owing to an extension of the vessel damage. The entire vessel was grasped, and complete hemostasis was achieved. The Coagrasper is useful for managing arterial bleeding; however, it should be employed only on the basis of its characteristics and in suitable scenarios.

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