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Successful Hemostasis by Double-balloon Enteroscopy with Mini-laparotomy for Small-bowel Hemorrhage in a Patient with
Shun Sasaki1, Yasuhiro Akazawa1, Rennosuke Nakamoto2
1Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan.
Abstract:
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. 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.

