{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:32:48Z","timestamp":1755225168774,"version":"3.43.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T00:00:00Z","timestamp":1713312000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["DEN Open"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We herein describe a 49\u2010year\u2010old man with severe heart failure due to fulminant myocarditis who underwent left ventricular assist device implantation and received clopidogrel and warfarin as antithrombotic agents. The patient developed anemia secondary to chronic bleeding gastric hyperplastic polyps, necessitating endoscopic mucosal resection. Despite attempts to manage post\u2010endoscopic mucosal resection bleeding from a gastric ulcer by endoscopic hemostasis using hemostatic forceps, local hemostatic agents, and polyglycolic acid sheets, the bleeding persisted. Hemostasis of the refractory bleeding was finally achieved by endoscopic hand\u2010suturing of the ulcer. One month later, the ulcer was almost completely scarred. This case has important clinical value in that it demonstrates the efficacy of endoscopic hand\u2010suturing even in challenging cases such as refractory bleeding gastric ulcers in patients with left ventricular assist devices.<\/jats:p>","DOI":"10.1002\/deo2.369","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T02:33:58Z","timestamp":1713407638000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of endoscopic hand\u2010suturing to treat refractory bleeding from a gastric ulcer in a patient with a left ventricular assist device"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5692-2624","authenticated-orcid":false,"given":"Masahiro","family":"Kondo","sequence":"first","affiliation":[{"name":"Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University  Fukuoka 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