Successful Hemostasis by Double-balloon Enteroscopy with Mini-laparotomy for Small-bowel Hemorrhage in a Patient with LVAD: A Case Report
A male patient in his 60s with advanced heart failure and a HeartMate3 left ventricular assist device (LVAD) was admitted to our hospital for the sixth time in one year due to recurrent small-bowel bleeding (SBB). Nine months after admission, conservative treatment failed to achieve stable hemostasis. Gastroenterologists and surgeons performed double-balloon enteroscopy with mini-laparotomy and achieved complete hemostasis with endoscopic clipping and surgical suturing from the serosal side to multiple bleeding sites. The patient was discharged without any signs of rebleeding. In conclusion, our method represents an effective strategy for managing challenging SBB cases in patients with LVAD.
Authors
- Tomohito Ohtani (ORCID: https://orcid.org/0000-0002-2963-7895)
- Yoshiki Tsujii (ORCID: https://orcid.org/0009-0006-0468-7542)
- Takuji Kawamura (ORCID: https://orcid.org/0000-0002-1155-3116)
- Fusako Sera
- Yasuhiro Akazawa (ORCID: https://orcid.org/0000-0002-0809-8714)
- Shigeru Miyagawa (ORCID: https://orcid.org/0000-0003-0015-6569)
- Yasushi Sakata (ORCID: https://orcid.org/0000-0002-5618-4721)
- Takeo Yoshihara (ORCID: https://orcid.org/0000-0003-0131-9294)
- Rennosuke Nakamoto
- Ryotaro Uema (ORCID: https://orcid.org/0000-0003-0936-4268)
- Daisuke Nakamura (ORCID: https://orcid.org/0000-0002-1457-2902)
- Takayuki Ogino (ORCID: https://orcid.org/0000-0001-5435-4144)
- Tsuyoshi Hata (ORCID: https://orcid.org/0000-0001-6616-9069)
- Isamu Mizote (ORCID: https://orcid.org/0000-0001-5811-0294)
- Shun Sasaki (ORCID: https://orcid.org/0000-0002-9561-0201)
- Daisuke Yoshioka (ORCID: https://orcid.org/0000-0002-5574-9495)
- Takafumi Oka (ORCID: https://orcid.org/0000-0003-3237-3293)
Institutions
- The University of Osaka (JP)
Publication Details
- Journal
- Internal Medicine
- Published
- 2025-01-01
- DOI
- https://doi.org/10.2169/internalmedicine.5451-25
- Primary Topic
- Gastrointestinal Bleeding Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00