Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2023; 11(15): 3578-3582
Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3578
Promising way to address massive intragastric clotting in patients with acute upper gastrointestinal bleeding: A case report
Su-Xian Liu, Bei Shi, Ya-Feng Liu, Jing-Yi Shan, Bo Sun
Su-Xian Liu, Bei Shi, Ya-Feng Liu, Jing-Yi Shan, Bo Sun, Department of Gastroenterology, Longhua Affiliated Hospital of Shanghai Traditional Chinese Medicine, Shanghai 210000, China
Author contributions: Liu SX interpreted and reviewed the literature; Shi B contributed to manuscript drafting and revision; Shan JY was the patient’s attending doctor; Liu YF was the charge nurse of the patient; Sun B was the operator of the endoscopy and was responsible for revising the manuscript for important intellectual content; all authors issued final approval of the version to be submitted.
Supported by Natural Youth Science Foundation of China, No. 82104743; Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Innovation Project, No KY2056.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no financial relationships to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bo Sun, MD, Chief Physician, Department of, Longhua Affiliated Hospital of Shanghai University of Traditional Chinese Medicine, No. 725 South Wanping Road, Xuhui District, Shanghai 210000, China. gidrsunbo@126.com
Received: January 5, 2023
Peer-review started: January 5, 2023
First decision: February 8, 2023
Revised: February 16, 2023
Accepted: April 14, 2023
Article in press: April 14, 2023
Published online: May 26, 2023
Core Tip

Core Tip: It is difficult to deal with massive intragastric clotting (MIC) in the stomach in acute upper gastrointestinal bleeding (UGIB). We suggest a new and simple way to deal with acute UGIB with massive intragastric clotting when the suction of the endoscope can’t remove it with common materials found in the endoscope department. An ultrathin electronic gastroscope was inserted through the nose to provide vision and an over tube of single-balloon enteroscope was inserted into the mouth to suction the massive blood clots out with a negative pressure of 2 kPa. This is a good way to provide a visual field and to stop bleeding in UGIB when other methods are not available or are unhelpful.