| Endoscopic sclerosis in the treatment of bleeding peptic ulcers with a visible vessel. | |
| | |
MedLine Citation:
|
PMID: 2178397 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We have assessed the efficacy of endoscopic sclerosis in the routine clinical management of patients with bleeding ulcers, in whom a visible vessel was identified at endoscopy. Over a period of 14 months, a visible vessel at the base of an ulcer was identified in 53 patients. Three patients could not undergo sclerosis, one because of torrential bleeding and two because of ulcer location. Fifty patients, 18 with a bleeding vessel and 32 with a nonbleeding vessel, were subjected to endoscopic sclerosis with adrenaline plus polidocanol. Permanent hemostasis was achieved in 45 patients (90%), 31 (62%) cases with one session and 14 (28%) cases with two sessions of sclerosis. Four patients had persistent rebleeding in spite of two sessions of sclerosis, and one patient had a massive rebleeding after the first session; all underwent emergency surgery. We believe that endoscopic sclerosis has a primary role in the treatment of ulcer bleeding, particularly in those patients in whom a visible vessel is identified at endoscopy. |
| | |
Authors:
|
J Panés; M Forné; F Bágena; J Viver |
Related Documents
:
|
1421647 - Methemoglobinemia in a patient undergoing gastrointestinal endoscopy. 6601227 - Acute upper gastrointestinal bleeding in the aged. a retrospective analysis of 100 cases. 9258477 - Sheath pulling immediately after ptca: comparison of two different deployment technique... 17647057 - Shock index correlates with extravasation on angiographs of gastrointestinal hemorrhage... 6477247 - Contrast sensitivity. the visual rehabilitation of the patient with macular degeneration. 19812117 - Clinically isolated acute transverse myelitis: prognostic features and incidence. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The American journal of gastroenterology Volume: 85 ISSN: 0002-9270 ISO Abbreviation: Am. J. Gastroenterol. Publication Date: 1990 Mar |
Date Detail:
|
Created Date: 1990-04-03 Completed Date: 1990-04-03 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0421030 Medline TA: Am J Gastroenterol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 252-4 Citation Subset: IM |
Affiliation:
|
Service of Gastroenterology, Hospital Mutua de Terrassa, Barcelona, Spain. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Duodenal Ulcer / complications* Duodenoscopy Female Gastroscopy Hemostatic Techniques Humans Male Middle Aged Peptic Ulcer Hemorrhage / etiology, mortality, therapy* Prospective Studies Recurrence Sclerotherapy / methods* Stomach Ulcer / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Conventional versus on-demand therapy for duodenal ulcer: results of a controlled therapeutic trial.
Next Document: Colonic lavage solution (polyethylene glycol electrolyte lavage solution) as a treatment for chronic...