Year 2022 / Volume 114 / Number 7
Letter
The long life of a hemoclip

434-435

DOI: 10.17235/reed.2022.8706/2022

Isabel Garrido, Armando Peixoto, Guilherme Macedo,

Abstract
An 87-year-old male with frequent episodes of food impaction underwent esophageal high-resolution manometry, which revealed type-I achalasia. Due to his advanced age and the presence of comorbidities, botulinum toxin injection was proposed and accepted by the patient. In June 2021, esophagogastroduodenoscopy revealed an esophageal dilatation with liquid and food retention and narrowing of the esophagogastric junction. An injection of 25 units of botulinum toxin diluted in 10 mL of saline was administered in each of the 4 lower esophageal sphincter quadrants, with no complications.
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References
1. Gralnek IM, Stanley AJ, Morris AJ, et al. Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2021. Endoscopy. 2021;53(3):300-332.
2. Ooi BP, Hassan MR, Kiew KK, et al. Case report of a hemostatic clip being retained for 2 years after deployment. Gastrointest Endosc. 2010; 72: 1315–1316.
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Garrido I, Peixoto A, Macedo G. The long life of a hemoclip. 8706/2022


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Publication history

Received: 12/02/2022

Accepted: 14/02/2022

Online First: 18/02/2022

Published: 07/07/2022

Article Online First time: 6 days

Article editing time: 145 days


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