{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T23:07:47Z","timestamp":1779318467536,"version":"3.51.4"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Esophageal variceal bleeding is a severe complication of portal hypertension, often requiring immediate endoscopic intervention. We present the case of a 74-year-old male with a history of liver cirrhosis, esophageal varices, who presented with a hemodynamically relevant hemorrhage from a varix at the esophagogastric junction and a severe reflux esophagitis. Initial endoscopic band ligation (EBL) within the ulcerative reflux esophagitis, failed due to disruption of the macerated tissue leading to active variceal bleeding. Salvage therapy with an over-the-scope clip (OTSC) was performed with successful hemostasis. The patient remained stable without recurrent bleeding. This case underscores the utility of OTSC in cases where conventional band ligation of varices at the esophagogastric junction with concomitant reflux esophagitis fail.<\/jats:p>","DOI":"10.1055\/a-2814-8302","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T23:44:13Z","timestamp":1774395853000},"page":"509-512","source":"Crossref","is-referenced-by-count":0,"title":["Effective Management of Esophageal Variceal Hemorrhage Complicated by Ulcerative Reflux Esophagitis Using Over-the-Scope Clip (OTSC) Following Failed Band Ligation: A Case Report"],"prefix":"10.1055","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4063-8344","authenticated-orcid":false,"given":"Thomas","family":"Balanis","sequence":"additional","affiliation":[{"name":"B\u00fcrgerspital Solothurn, SO, Switzerland","place":["Solothurn"],"department":["Gastroenterology and Hepatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brindusa","family":"Diaconu","sequence":"additional","affiliation":[{"name":"B\u00fcrgerspital Solothurn, SO, Switzerland","place":["Solothurn"],"department":["Gastroenterology and Hepatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radu","family":"Tutuian","sequence":"additional","affiliation":[{"name":"B\u00fcrgerspital Solothurn, SO, Switzerland","place":["Solothurn"],"department":["Gastroenterology and Hepatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Brunner","sequence":"additional","affiliation":[{"name":"B\u00fcrgerspital Solothurn, SO, Switzerland","place":["Solothurn"],"department":["Gastroenterology and 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Endosc"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.jceh.2016.01.003","article-title":"Innovative approach of using esophageal stent for refractory post-band ligation esophageal ulcer bleed following living donor liver transplantation","volume":"6","author":"NS Choudhary","year":"2016","journal-title":"J Clin Exp Hepatol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"32","DOI":"10.14218\/JCTH.2018.00059","article-title":"Case-control study of post-endoscopic variceal ligation bleeding ulcers in severe liver disease: outcomes and management","volume":"7","author":"KD Jamwal","year":"2019","journal-title":"J Clin Transl Hepatol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"58","DOI":"10.5946\/ce.2016.028","article-title":"Endoscopic management of gastrointestinal leaks and bleeding with the over-the-scope clip: a prospective study","volume":"50","author":"MK Goenka","year":"2017","journal-title":"Clin. Endosc"}],"container-title":["Zeitschrift f\u00fcr Gastroenterologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2814-8302.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:34:22Z","timestamp":1779316462000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2814-8302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,24]]},"references-count":12,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2026,5,20]]},"published-print":{"date-parts":[[2026,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2814-8302","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-2771","1439-7803"],"issn-type":[{"value":"0044-2771","type":"print"},{"value":"1439-7803","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,24]]}}}