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Endoscopic hemostasis for colorectal massive bleeding endoscopic local injection of hypertonic sodium epinephrine hs e solution



Endoscopic hemostasis for colorectal massive bleeding endoscopic local injection of hypertonic sodium epinephrine hs e solution



Gastroenterological Endoscopy 30(2): 439-443



Three patients with massive colorectal bleeding which was successfully treated by endoscopic local injection of hypertonic sodium epinephrine "HS-E solution" were reported. The first case was a 79-year-old-male with postoperative colonic stenosis after sigmoidectomy, which was attempted to treat by endoscopic balloon dilatation. Six hours after the dilatation massive and bleeding occurred. The second case was a 51-year-old-male in whom hot biopsy was performed for a small flat polyp of ascending colon. Six days after the biopsy massive anal bleeding occurred. The third case was a 43-year-old-female with amyloidosis. Six days after rectal biopsy to confirm the disease of GI tract massive anal bleeding occurred. Endoscopic local injection of HS-E solution can control massive colorectal bleeding as safely and effectively as in upper GI bleeding.

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Accession: 005359293

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