Clinical outcome of endoscopic hemostasis with heater probe coagulation for bleeding gastric ulcer
نویسندگان
چکیده
We reviewed 1,152 patients with bleeding gastric ulcer treated at our institution between 1987 and 2011. Of these, 1,026 patients (89.1%) underwent endoscopic hemostasis. Forrest classification for bleeding ulcers in these cases was as follows: Ia, 188 patients (18.3%); Ib, 114 patients (11.1%); and IIa, 665 patients (64.8%). Endoscopic treatment proved successful in 1,023 patients (99.7%), including 70 patients (6.8%) who experienced re-bleeding. There were 19 deaths (1.9%), and 3 patients (0.3%) underwent surgical procedures. No surgical procedures were performed after 1994.
منابع مشابه
HEATER PROBE THERMOCOAGULATION A S A SUBSTITUTE FOR SURGICAL INTERVENTION TO ARREST MASSIVE PEPTIC ULCER BLEEDING: A CONTROLLED, PROSPECTIVE ANALYSIS OF 42 CASES
The goal of this study was to compare the effect of heater probe thermocoagulation for massive bleeding of peptic ulcers with a control group. Between March 1992 and August 1995 we used heater probe thermocoagulation endoscopically to treat 42 patients with active UGl bleeding or nonbleeding visible vessels at the base of ulcer craters within 2-3 hours of admission. We also selected 42 pati...
متن کاملManagement of upper gastrointestinal bleeding.
Upper gastrointestinal bleeding secondary to ulcer disease is common and results in substantial patient morbidity and medical expense. After initial resuscitation to stabilize the patient, carefully performed endoscopy provides an accurate diagnosis and identifies high-risk ulcer patients who are likely to rebleed with medical therapy alone and will benefit most from endoscopic hemostasis. For ...
متن کاملPrediction 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...
متن کاملManagement of haematemesis and melaena.
Acute upper gastrointestinal bleeding is a common medical emergency which carries hospital mortality in excess of 10%. The most important causes are peptic ulcer and varices. Varices are treated by endoscopic band ligation or injection sclerotherapy and management of the underlying liver disease. Ulcers with major stigmata are treated by injection with dilute adrenaline, thrombin, or fibrin glu...
متن کاملManagement of haematemesis and melaena
Acute upper gastrointestinal bleeding is a common medical emergency which carries hospital mortality in excess of 10%. The most important causes are peptic ulcer and varices. Varices are treated by endoscopic band ligation or injection sclerotherapy and management of the underlying liver disease. Ulcers with major stigmata are treated by injection with dilute adrenaline, thrombin, or fibrin glu...
متن کامل