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A new and effective technique of yttrium aluminum garnet laser photo coagulation for severe upper gastro intestinal bleeding



A new and effective technique of yttrium aluminum garnet laser photo coagulation for severe upper gastro intestinal bleeding



Endoscopy 16(3): 115-117



A new technique of treating acute severe upper gastrointestinal hemorrhage was evaluated. The technique consisted of epinephrine injections in the bleeding lesion combined with YAG [yttrium, aluminum, garnet] laser radiation in short pulses, applied until the bleeding vessel was completely closed. This new treatment modality was tried in 54 consecutive patients with severe upper gastrointestinal bleeding from a spurting artery, or an ulcer with a nonbleeding visible vessel in the floor of the ulcer crater endoscopy. Permanent hemostasis was achieved in 87% of the 54 patients. Emergency surgery was needed in 13%. The mortality rate was only 10%. No complications occurred. This new technique of treating severe upper gastrointestinal bleeding from a spurting artery or an ulcer with a visible vessel results in a significant improvement of the success rate (permanent hemostasis) and a marked reduction in the mortality rate.

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Accession: 004591863

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