Even minor procedures can be problematic (A spurter from taking biopsies from the lower esophagus)

A 26-year-old man presented to our hospital with persistent epigastric pain, and heartburn was admitted to our hospital. The patient gave a long term history of proton pump inhibitors use. Upper digestive endoscopy was undertaken. A spurter resulted from biopsies that were taken from the lower esophagus. What is your opinion 1- nothing, wait-and-see policy. 2- intervene?


Comments

Hari said…
Was the biopsy taken with non-needle biopsy forceps? I think i would inject with adrenaline
Fortunately, the bleeding stopped spontaneously.
It is a needle biopsy forceps.
Thanks for your care
Dr. Manoj said…
Biopsy technique is fautly
Dr. Manoj said…
Biopsy technique is fautly
La biopsia se toma en una varice esofágica
acsparedes said…
Unfortunately the biopsy forceps grasped an arterial vessel. I would inject epinephrin and observe with a clip in hand ready to use