Document Detail


Retrospective multicenter study concerning electrocautery forceps with soft coagulation for nonmalignant gastroduodenal ulcer bleeding in Japan.
MedLine Citation:
PMID:  20590763     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Electrocautery forceps with soft coagulation are actively used for treatment of bleeding and nonbleeding visible vessels during endoscopic submucosal dissection, but the usefulness of gastroduodenal ulcer bleeding has not been elucidated so far. The purpose of this paper is to elucidate the outcomes of electrocautery forceps with soft coagulation for peptic and artificial gastroduodenal ulcer bleeding. A retrospective multicenter study of consecutive case series during one year involved nine departments of high-volume hospitals in Japan. The study included 128 consecutive patients (62 with peptic ulcers and 66 with artificial ulcers) with bleeding nonmalignant gastroduodenal ulcers that were revealed using emergency endoscopy between January 2008 and December 2008. Hemostasis was carried out using electrocautery forceps with soft coagulation. Rates of successful initial hemostasis, rebleeding, transfer to surgery, and death according to peptic and artificial ulcer bleeding were recorded. Successful initial endoscopic hemostasis was obtained in 61 peptic ulcer patients (98.4%) and 66 artificial ulcer patients (100%). Rebleeding was observed in seven peptic ulcer patients (11.5%) and five artificial ulcer patients (7.6%). Rates of successful management with endoscopic methods alone were 96.8% (60/62) and 100% (66/66) in peptic ulcer patients and artificial ulcer patients, respectively. There were no severe complications or deaths related to the management of gastroduodenal ulcer bleeding. The novel endoscopic method using electrocautery forceps with soft coagulation for gastroduodenal ulcer bleeding seems to provide safety and efficacy that is comparable with that of endoscopic hemostasis with other established hemostatic techniques.
Authors:
Mitsuhiro Fujishiro; Nobutsugu Abe; Masaki Endo; Yoshiro Kawahara; Ryo Shimoda; Shinji Nagata; Kiyoaki Homma; Yoshinori Morita; Noriya Uedo
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study    
Journal Detail:
Title:  Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society     Volume:  22 Suppl 1     ISSN:  1443-1661     ISO Abbreviation:  Dig Endosc     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-01     Completed Date:  2010-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9101419     Medline TA:  Dig Endosc     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  S15-8     Citation Subset:  IM    
Affiliation:
Department of Endoscopy and Endoscopic Surgery, The University of Tokyo, Tokyo, Japan. mtfujish-kkr@umin.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Duodenal Ulcer*
Electrocoagulation / instrumentation*
Endoscopes, Gastrointestinal*
Equipment Design
Female
Follow-Up Studies
Hemostasis, Endoscopic / instrumentation*
Humans
Incidence
Japan / epidemiology
Male
Middle Aged
Peptic Ulcer Hemorrhage / epidemiology,  surgery*
Recurrence
Retrospective Studies
Stomach Ulcer*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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