Comparison of Various Endoscopic Injection Therapy and Hemoclipping for Bleeding Peptic Ulcers.
- Author:
Jun Ho KO
1
;
Kwang Jae LEE
;
Sung Taik JEOUNG
;
Oh Young KWON
;
Young Yoon KO
;
Suk Bae JEE
;
Ki Baik HAHM
;
Jin Hong KIM
;
Sung Won CHO
Author Information
1. Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea.
- Publication Type:Original Article ; Clinical Trial
- Keywords:
Hemoclip, Hystoacryl;
Fibrine - glue;
Epinephrine;
Bleeding peptic ulcer
- MeSH:
Emergencies;
Endoscopy;
Epinephrine;
Hemorrhage*;
Hemostasis;
Humans;
Peptic Ulcer*;
Retrospective Studies
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(6):817-824
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Widely practiced endoscopic methods for hemastasis of bleeding peptic ulcer include thermal application (laser, heater probe) and local injection (epi- nephrine, fibrine-glue or various sclerosing agents). Studies evaluating these modalities have presented high success rates for achieving initial hemostasis. Recently, endoscopic hemoclipping is considered to be a safe and effective hemostatic method for upper gas- trointestinal bleeding. The aim of this study was to compare various hemostatic modalities for bleeding peptic ulcer. METHODS: Over a three year period between June 1994 and October 1997, a total of 133 patients with bleeding peptic ulcer were included in this study, We have conducted clinical trials and a retrospective analysis. All of the patients we selected had either active bleeding or a nonbleeding visible vessel on endoscopy. Endoscopy was performed on an emergency basis within 12 hours of hospital arrival.
