Conclusion: the treatment of critically ill patients requires additional prevention of stress-induced ulcers. Prophylactic treatment with proton pump inhibitors (PPI) could be not sufficient, in most of cases of bleeding required endoscopic hemostasis and the need for surgical intervention remains Selleck Small molecule library high. Key Word(s): 1. GI bleeding; 2. stress-induced ulcer; 3. rebleeding; 4. critically ill; Presenting Author:
YONGLI YAO Additional Authors: FACHAO ZHI Corresponding Author: YONGLI YAO Affiliations: Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital; Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University Objective: Esophageal foreign body is a common clinical emergency, Aortoesophageal fistula is a rare but commonly fatal complication of foreign body. Reports of successfully managed cases are few, with high mortality and morbidity usually resulting from failure to control the initial massive
haemodynamic insult. Methods: A 55-year-old man had chest discomfort and sharp retrosternal pain after swallowing a chicken bone 14 days ago. He was presented to our hospital emergency department with small haematemesis. The next day he had another massive haematemesis. During intraoperative endoscopy, the bleeding from esophageal fistula in the esophagus 23 cm from the teeth was seen. Treatment involved stabilising the patient with right thoracotomy incision of descending aorta esophagus, esophageal Daporinad cost fistula ligation. In order to prevent postoperative hemorrhage, a descending aortic endovascular stent-graft was inserted. Results: We successfully treated a patient with AEF that was caused by the ingestion of a chicken bone. Emergency general anesthesia and right thoracotomy incision of descending aorta esophagus, esophageal fistula ligation suture followed by an descending aortic stent-graft
repair. Conclusion: In this report, we would like to discuss modern techniques and management strategies we employed in our case, which could Sclareol optimise the conditions for a favourable outcome in future cases. Key Word(s): 1. AEF; 2. foreign body; 3. gastrointestinal; 4. bleed; Presenting Author: CUIFANG ZHENG Additional Authors: YING HUANG, YINGKIT LEUNG Corresponding Author: CUIFANG ZHENG Affiliations: Children’s Hospital of Fudan University Objective: Background: Meckel’s diverticulum (MD) is not a rare condition but it is difficult to visualize with conventional endoscopy. An accurate preoperative diagnosis of bleeding Meckel’s diverticulum in childrenremains a great challenge to the pediatrician. In addition, reports on the diagnostic value of double balloon enteroscopy (DBE) in pediatric Meckel’s Diverticulum are limited. The aim of the study was to evaluate the diagnostic value of DBE in pediatric patients with OGIB.