EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Endoscopic control of upper gastrointestinal hemorrhage with a bipolar coagulation device



Endoscopic control of upper gastrointestinal hemorrhage with a bipolar coagulation device



Surgery, Gynecology & Obstetrics 159(2): 113-118



It has been difficult to determine the real efficacy of endoscopic treatment for upper gastrointestinal tract bleeding sites for several reasons. First, since 80 per cent of an unselected group are expected to stop bleeding spontaneously, it is important to focus upon those individuals who continue to bleed instead of a group in whom bleeding would have stopped spontaneously in the majority. Second, it is difficult, if not impossible, to have comparable groups of patients with similar lesions and similar rates of bleeding who can be randomized into different treatment groups. This report describes the use of a bipolar endoscopic coagulation device in 28 patients with active massive upper gastrointestinal tract hemorrhage who represent 10 per cent of the patients with hemorrhage during a one year interval. Endoscopic treatment controlled bleeding initially in 23 of these patients. Another eight patients with recent hemorrhage who were at high risk for recurrent bleeding (visible vessels) had endoscopic coagulation without subsequent hemorrhage. Immediate operations were required in five of the 28 and delayed operations in another four. Mortality in the patients treated by endoscopic or surgical therapy was comparable (20 per cent), but no patient died of hemorrhage. The high mortality in this group of patients is explained by associated illnesses. B-C is as effective as other endoscopic treatments for nonvariceal sources of upper gastrointestinal tract hemorrhage. This modality is relatively cheap compared with other devices, is theoretically less complicated and has minimal risk to the individual patient. Because of these considerations, it is a technique which deserves wider application and may become the endoscopic treatment of choice for control of upper gastrointestinal tract hemorrhage. Patients with endoscopic control of upper gastrointestinal tract bleeding avoid perioperative morbidity, have a lower transfusion requirement and may have a shorter hospital stay than comparable individuals who require operative control of bleeding sites.

(PDF emailed within 1 workday: $29.90)

Accession: 005359146

Download citation: RISBibTeXText

PMID: 6379937



Related references

Endoscopic laser coagulation in arterial upper gastrointestinal hemorrhage. Die Medizinische Welt 34(24): 700-700, 1983

Argon plasma coagulation in endoscopic therapy of CREST syndrome associated upper gastrointestinal hemorrhage. Zeitschrift für Gastroenterologie 35(6): 469-476, 1997

Argon plasma coagulation in the endoscopic treatment of upper gastrointestinal hemorrhage in CREST syndrome. Zeitschrift fuer Gastroenterologie 35(6): 469-476, 1997

Endoscopic band ligation for control of nonvariceal upper GI hemorrhage: comparison with bipolar electrocoagulation. Gastrointestinal Endoscopy 55(2): 214-218, 2002

Control of upper gastrointestinal hemorrhage by endoscopic spraying of clotting factors. Gastroenterology 77(4 Pt 1): 642-646, 1979

Rescue endoscopic bleeding control for nonvariceal upper gastrointestinal hemorrhage using clipping and detachable snaring. Endoscopy 45(6): 489-492, 2014

Nonsurgical control of upper gastrointestinal hemorrhage in old age patients intragastric norepinephrine and endoscopic alcoholization of lesions. Intensive Care Medicine 16(3): 180-183, 1990

Endoscopic bipolar coagulation device. Official Gazette of the United States Patent & Trademark Office Patents 1175(2): 997, June 13, 1995

Endoscopic bipolar coagulation of acute gastroduodenal hemorrhage. Rozhledy V Chirurgii 71(2): 109-112, 1992

Endoscopic neodymium:YAG laser coagulation in gastrointestinal hemorrhage. Endoscopy 18 Suppl 2: 46-51, 1986

Endoscopic bipolar electrocoagulation in upper gastrointestinal bleeding. Endoscopy 16(1): 6-9, 1984

Endoscopic bipolar electrocoagulation in massive upper gastrointestinal bleeding. Gastroenterologia Japonica 20(1): 65-70, 1985

Endoscopic paired bipolar electrocoagulation for upper gastrointestinal bleeding. Medical Journal of Kinki University 18(3): 403-415, 1993

Endoscopic electro coagulation in upper gastro intestinal hemorrhage. Gastroenterology 66(4): 820, 1974

Endoscopic Diagnosis Of Upper Gastrointestinal Hemorrhage. Postgraduate Medicine 37: 513-522, 1965