Endoscopic double-layer nylon rope ligation for rescue of gastric ulcer bleeding after failed OTSC treatment: A case report (with video).

Medicine (Baltimore)Oct 2, 2026
Case ReportGastroenterologyEmergency Medicine

Dan Wu, Hong Wei, Da Yong Sun et al.

✦ AI-curated · Sources linked

Case in brief

A 61-year-old man presented with hematemesis and melena due to a bleeding gastric ulcer classified as Forrest IIa. After initial treatment with an over-the-scope clip (OTSC) failed, he underwent endoscopic double-layer nylon rope ligation, which achieved immediate hemostasis. The patient showed no recurrence of symptoms, and follow-up examinations indicated complete healing of the ulcer within four months.

Diagnostic / clinical pearl

Endoscopic double-layer nylon rope ligation can be an effective rescue therapy for gastric ulcer bleeding when initial OTSC treatment fails.

Why it matters

This case highlights a novel application of double-layer nylon rope ligation, offering a new option for managing high-risk gastrointestinal bleeding.

Source

PubMed · PMID 42826340

Published in Medicine (Baltimore). This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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