Comparison of endoscopic injection therapy versus the heater probe in major peptic ulcer haemorrhage.

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Comparison of endoscopic injection therapy versus the heater probe in major peptic ulcer haemorrhage.

One hundred and twenty patients presenting with major peptic ulcer haemorrhage were randomised in a clinical trial comparing endoscopic injection and heater probe therapy. The two groups were well matched with regards to age, admission haemoglobin concentration, the presence of shock, non-steroidal anti-inflammatory drug usage and endoscopic findings. Permanent haemostasis was achieved in 87% o...

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The efficacy of endoscopic therapy in bleeding peptic ulcer patients.

BACKGROUND Endotherapy is the primary modality for the control of bleeding from peptic ulceration. OBJECTIVE To assess the efficacy of endoscopic intervention for high-risk bleeding peptic ulcer disease and to benchmark our surgical and mortality rates. METHODS Two hundred and twenty-seven patients with peptic ulcers stratified by Rockall and Forrest scores as at high risk for re-bleeding u...

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Prediction of therapeutic failure after adrenaline injection plus heater probe treatment in patients with bleeding peptic ulcer.

BACKGROUND Continued or recurrent bleeding after endoscopic treatment for bleeding ulcer is a major adverse prognostic factor. Identification of such ulcers may allow for alternate treatments. AIM To determine factors predicting treatment failure with combined adrenaline injection and heater probe thermocoagulation. METHODS Consecutive patients with bleeding peptic ulcers who received endos...

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Major complication after Histoacryl injection for endoscopic treatment of bleeding peptic ulcer.

A 49-year-old man in hemorrhagic shock because of melena and hematemesis was referred from another hospital. On admission he was still normotensive (red cell count 2.08×106/μL, hemoglobin 61g/L). He had no prior known medical condition and did not take anymedication regularly. Emergency endoscopy revealed a large amount of fresh coagulated blood and bleeding from the arterial vessels in the sto...

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Endoscopic injection sclerosis: effective treatment for bleeding peptic ulcer.

One hundred and nine patients presenting with severe haemorrhage from benign peptic ulcers were randomised to either endoscopic injection sclerotherapy using a combination of 1:100,000 adrenaline and 5% ethanolamine or to conservative treatment. Only high risk patients with active bleeding or endoscopic stigmata of recent haemorrhage and accessible ulcers were considered. The two groups were we...

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ژورنال

عنوان ژورنال: Gut

سال: 1992

ISSN: 0017-5749

DOI: 10.1136/gut.33.9.1159