Document Detail


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
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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.
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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


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