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September 10, 2025Open Access

Endoscopic titanium clip with nylon loop for treating esophageal and gastric variceal bleeding after endoscopic variceal ligation and transjugular intrahepatic portosystemic shunt

XNXubiao NieArmy Medical University YLYawen LiHebei Medical University YLYongjun LiuEast China University of Science and Technology

Key Points

The intervention effectively managed esophageal and gastric variceal bleeding, reducing the need for emergency procedures.
Results show significant improvements in hematemesis and melena symptoms following treatment with titanium clips.
Management involved endoscopic variceal ligation followed by transjugular intrahepatic portosystemic shunt to stabilize the patient.
This case underscores the potential benefits of clipping interventions in patients with liver cirrhosis and related complications.

Abstract

A 49-year-old man experienced intermittent hematemesis and melena for over a decade. He was diagnosed with decompensated liver cirrhosis secondary to chronic hepatitis B more than 10 years ago and has since been managed conservatively with pharmacotherapy. He presented to a local hospital 8 days ago with recurrence of hematemesis and underwent endoscopic variceal ligation (EVL). Following stabilization, he was transferred to our department for a transjugular intrahepatic portosystemic shunt (TIPS) procedure.

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