Аннотация:A 45-year-old man presented with hematemesis, melena, and abdominal pain. Because he had clinical and laboratory signs of hypovolemic shock, the patient underwent an emergency gastroduodenoscopy. The findings of the endoscopy were: massive bleeding in the upper gastrointestinal tract, macroscopic necrosis, ulceration, and severe bloody oozing in the lower third of the esophagus. Because of the high risk of perforation, clipping and injection of epinephrine were contraindicated. We therefore proceeded to insert a coated Ella Danis stent (Ella-CS, Hradec Kralove, Czech Republic) as rescue management ([Fig. 1 a]), and with this we achieved immediate hemostasis. The patient stabilized within 24 hours of admission and a repeat endoscopy showed hemostasis had been maintained ([Fig. 1 b]). The stent was removed on day 4 after implantation, and the patient was discharged without experiencing any further complications.
