Clinical efficacy of tissue adhesive on intractable bleeding during endoscopic submucosal dissection.
- Author:
Lili MA
1
;
Jingjing LIAN
;
Pinghong ZHOU
;
Meidong XU
;
Liqing YAO
;
Shiyao CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Dissection; Endoscopy, Gastrointestinal; Gastric Mucosa; surgery; Hemorrhage; etiology; therapy; Humans; Intestinal Mucosa; surgery; Tissue Adhesives; therapeutic use; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2014;17(3):272-274
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the efficacy of tissue adhesive on intractable bleeding during endoscopic submucosal dissection(ESD) and delayed bleeding.
METHODSA total of 9874 patients with gastrointestinal mucosal or submucosal tumors underwent ESD in our center from September 2006 to August 2013 and intractable bleeding occurred during ESD in 5 cases. Under the condition of no effective hemostasis methods, the tissue adhesive injection or spray were used to stop the bleeding. The efficacy and safety were evaluated.
RESULTSAll the 5 cases were successfully managed by the hemostasis method with tissue adhesive without any adverse event. In follow-up of two months after operation, wound healing and scar formation were observed under endoscopy.
CONCLUSIONTissue adhesive is safe, effective and fast for intractable bleeding during ESD and delayed bleeding.
