Clinical application of purse?string suture on the treatment of patients with peptic ulcer bleeding
10.3760/cma.j.issn.1007-5232.2018.06.008
- VernacularTitle:内镜下荷包缝合术在消化性溃疡并出血中的临床应用
- Author:
Di JIANG
1
;
Suhuan LIAO
;
Huizhao DENG
;
Xiaofeng LI
;
Youlin LE
;
Meihong LIU
;
Jiandong SU
Author Information
1. 中山大学附属东华医院消化内科
- Keywords:
Peptic ulcer hemorrhage;
Endoscopic therapy;
Purse-string suture;
Nylon loop
- From:
Chinese Journal of Digestive Endoscopy
2018;35(6):415-418
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical efficacy and safety of purse-string suture on the treatment of peptic ulcer bleeding. Methods Data of 42 patients with peptic ulcer bleeding treated by purse-string suture with hexiejia combined with endoloop in Dongguan Tung Wah Hospital from January 2016 to January 2017 were retrospectively analyzed. The immediate hemostasis rate, effective hemostasis rate, additional surgery rate, recurrence rate in two weeks and mortality were analyzed. Results Among 20 cases with active bleeding during operation, 19 were immediately arrested, and 1 case of failure was diagnosed as marginal ulcer after gastric resection. The overall effective hemostasis rate was 97. 6%(41/42), additional surgery rate was only 2. 4%( 1/42). The vital signs of 41 patients with successful endoscopic hemostasis were stable after operation, and no fever, hematemesis, black stool or other symptoms occurred. No recurrence of bleeding or death occurred within two weeks. The ulcers were healed well in follow-up of one month. Conclusion Endoscopic purse-string suture is a safe and feasible method for treatment of patients with peptic ulcer bleeding.
