PMC5371723_01
Pouchoscopy showing diffuse active bleeding of the diverted pouch.
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F1
We believe that the bleeding stemmed from active oozing from severe diversion pouchitis (Figure 1).
Endoscopic spraying of the pouch mucosa with 150 mL 50% dextrose via catheter, resulting in immediate hemostasis.
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V1
The mucosa was endoscopically sprayed with 150 mL 50% dextrose via a catheter, which resulted in immediate hemostasis (Video 1; Figure 2).
(A) D50 spray in action, and (B) the appearance of the pouch mucosa immediately after treatment.
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F2
Follow-up pouchoscopy 2 weeks after the dextrose spray showed normal pouch mucosa with no evidence of bleeding or mucosal friability (Figure 3).