Supplementary Material for: Endoscopic Hemostatic Treatment for Acute Gastrointestinal Bleeding by Combined Modality Therapy with PuraStat???? and Endoscopic Hemoclips

Acute gastrointestinal bleeding (AGIB) is a common condition leading to hospitalization and is associated with significant morbidity and mortality. While various endoscopic treatments have been reported for AGIB, endoscopic hemostasis treatment by combined modality with PuraStat🄬 and endoscopic hemoclips remain less well documented. We report 6 cases of AGIB, i.e., 5 cases of ulcer bleeding and 1 case of ruptured gastric varices in 3 males and 3 females aged 49 to 97 years (mean age, 77 years), 2 and 1 of whom had been on antithrombotic drugs and non-steroidal anti-inflammatory drugs (NSAIDs), respectively, with 2 of these also found to be in critical condition with hemorrhagic shock. Types of bleeding treated with combined modality therapy included oozing bleeding from visible vessels (n = 3), spurting bleeding from visible vessels (n = 2) and from gastric varices (n = 1). In all cases, complete hemostasis was achieved with no rebleeding. To our knowledge, this report represents a valuable addition to the AGIB literature describing endoscopic hemostasis by combined modality therapy with PuraStat🄬 and endoscopic hemoclips.