Endoscopic Alcohol Injection Therapy in Bleeding Peptic Ulcers.
- Author:
Kyoo Wan CHOI
;
Yong Bum YOON
;
In Sung SONG
;
Chung Yong KIM
;
Hyun Chae JUNG
;
Poong Lyul RHEE
;
Sang Woon CHOI
;
Tae Ho KIM
;
Young Tae KIM
- Publication Type:Original Article
- Keywords:
Stigmata of recent hemorrhage;
Endoscopic alcohol injection therapy;
Peptic ulcer bleeding
- MeSH:
Christianity;
Duodenal Ulcer;
Emergencies;
Endoscopy;
Hemorrhage*;
Hemostasis;
Hemostasis, Endoscopic;
Humans;
Mortality;
Peptic Ulcer*;
Prognosis;
Stomach Ulcer;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
1994;14(2):166-170
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bleeding that recur or continues after hospital admission for an acutely bleeding peptic ulcer is the single most important factor adversely affecting prognosis. The endoscopic findings of stigmata of recent hemorrhage such as active bleeding, a visible vessel or fresh blood clots in peptic ulcer indicate relatively high rebleeding risk. 30 patients with stigmata of recent hemorrhage in bleeding peptic ulcers were treated by endoscopic alcohol injection therapy during the 3-year period from August 1989 to July 1992. 30 cases included 24 gastric ulcers, 4 duodenal ulcers, and 2 stomal ulcers. 8 of these were actively bleeding at the time of endoscopy and non-bleeding visible vessels were identified in 15 patients and fresh blood clots were present in 7. 12 of total 30 cases had rebleeding or continuous bleeding. 3 of 8 with active bleeding, 5 of 15 with non-bleeding bisible vessels, and 4 of 7 with fresh blood clots had rebleeding. Emergency operations were done in 4 cases. There was no complication such as perforation and mortality. We think that this modality of endoscopic hemostasis is safe and simple, but further randomized controlled trials will be needed to evaluate the efficacy of hemostasis by endoscopic alcohol injection therapy.
