Endoscopic band ligation and over-the-scope clip placement for refractory bleeding of Dieulafoy ulcer in the jejunum

A 68-year-old man, who underwent surgery for gastric cancer (distal gastrectomy and Billroth I reconstruction) in the past and was taking dabigatran 15 mg orally because of brain infarction, came to our hospital with a chief complaint of lightheadedness. He had marked anemia (hemoglobin 5.6 g/dL). Endoscopy detected bleeding from a Dieulafoy ulcer in the upper jejunum. A clip was applied to stop the bleeding ([Fig. 1 a,...