Atlas of Gastroenterological Endoscopy
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Ulcer with hemorrhage
Hemorrhage below an inner bumper Ulcer below an inner bumper
One week after PEG implantation an oozing external hemorrhage occurred. Gastroscopy revealed a corresponding mucosal hemorrhage, which required active treatment by means of Adrenalin injection (1:20.000 dilution). The outer bumper was loosened for 5 days allowing the ulceration to heal. Also enteral feeding had to be abandonned for this period of time.