The efficacy of single channel endoscopic purse-string sutures with hemostatic dips and endoloops for the peptic ulcer bleeding
10.3760/cma.j.issn.1008-1372.2018.04.012
- VernacularTitle:单通道内镜下尼龙绳联合止血夹荷包缝合术治疗消化性溃疡并出血的疗效评价
- Author:
Fuqun WANG
1
;
Shengbing WANG
;
Boying LIU
;
Xiaofeng LIN
Author Information
1. 中山大学附属梅州医院(梅州市人民医院)消化内科
- Keywords:
Peptic ulcer hemorrhage/SU;
Endoscopy;
Surgical stapling
- From:
Journal of Chinese Physician
2018;20(4):524-527
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of single-channel endoscopic nylon rope combined with hemostatic clip suture in the treatment of peptic ulcer and bleeding.Methods Patients in our hospital due to peptic ulcer bleeding and hospitalization emergency electronic endoscopy from January 1st,2001 to July 1st,2017 were enrolled in the study.They were treated the single-channel endoscopic nylon rope combined with hemostatic clip suture.The basic information,clinical data,surgical records combined and retrospective analysed.Results 16 patients were included in the study.Among all the patients,peptic ulcer was located in 6 cases of gastric angle,3 cases of gastric antrum,3 cases of gastric body,2 cases of duodenal bulb and stomach.Ulcer maximum 40 mm × 25 mm,an average of (23.0 ± 6.0) mm.All ulcer wounds in patients underwent single-channel endoscopic nylon rope combined with hemostatic clip pouch suture were completely closed,including 1 case of duodenal ulcer patients after bleeding,achieved hemostasis successfully when turned into our hospital intervention.The remaining 15 cases were no longer bleeding.1 cases of gastric antral and 1 cases of stomach were diagnosed as moderately differentiated adenocarcinoma and they received endoscopic resuscitation after successful elective surgery gastric antral cancer radical surgery.Conclusions Single channel endoscopic nylon rope combined with hemostatic clip sacking is a safe and effective method for the treatment of giant peptic ulcer and bleeding.It is worthy of clinical manifestation,especially for those with deep and perforated ulcer.
