A novel method to control severe upper GI bleeding from metastatic cancer with a hemostatic sealant: The CoStasis surgical hemostat

Abstract

Control of diffuse bleeding from primary and metastatic cancers in the GI tract is often difficult.1-3 Although surgery is an option, it is infrequently performed in patients with metastatic cancer who are often debilitated and have limited life expectancy. Angiography with embolization of feeding vessels can be used for brisk bleeding, but this may be difficult when multiple lesions are present. Endotherapy by injection, Nd:YAG laser photocoagulation, microwave coagulation, and electrocoagulation have been used with limited efficacy.