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Endoscopic hemostasis in the upper gastrointestinal tract sclerotherapy for nonvariceal hemorrhage



Endoscopic hemostasis in the upper gastrointestinal tract sclerotherapy for nonvariceal hemorrhage



Tidsskrift for den Norske Laegeforening 107(10-11): 929-930, 963



Over a period of 18 months we performed endoscopic haemostasis by injection (sclerotherapy) on 20 patients with upper gastrointestinal bleeding not caused by varices. We injected into the submucosa adrenaline and polidocanol (Aethoxysclerol). Nine patients had spurting haemorrhage, eight had oozing haemorrhage and three had signs of bleeding shortly before. 15 patients had permanent heamostasis after the first sclerotherapy. In five patients bleeding recurred, in three of these a second sclerotherapy was successful. One patient died owing to haemorrhage from an unrecognized gastric ulcer which had penetrated the splenic artery. The patient was 87 years old and inoperable. The paper briefly reviews current methods of endoscopic haemostasis in the upper gastrointestinal tract. Close collaboration with a surgeon and an early control-endoscopy are important.

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Accession: 005359295

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