Korean J Gastrointest Endosc.  1998 Dec;18(6):817-824.

Comparison of Various Endoscopic Injection Therapy and Hemoclipping for Bleeding Peptic Ulcers

Affiliations
  • 1Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea.

Abstract

BACKGROUND/AIMS
Widely practiced endoscopic methods for hemastasis of bleeding peptic ulcer include thermal application (laser, heater probe) and local injection (epi- nephrine, fibrine-glue or various sclerosing agents). Studies evaluating these modalities have presented high success rates for achieving initial hemostasis. Recently, endoscopic hemoclipping is considered to be a safe and effective hemostatic method for upper gas- trointestinal bleeding. The aim of this study was to compare various hemostatic modalities for bleeding peptic ulcer.
METHODS
Over a three year period between June 1994 and October 1997, a total of 133 patients with bleeding peptic ulcer were included in this study, We have conducted clinical trials and a retrospective analysis. All of the patients we selected had either active bleeding or a nonbleeding visible vessel on endoscopy. Endoscopy was performed on an emergency basis within 12 hours of hospital arrival.

Keyword

Hemoclip, Hystoacryl; Fibrine - glue; Epinephrine; Bleeding peptic ulcer

MeSH Terms

Emergencies
Endoscopy
Epinephrine
Hemorrhage*
Hemostasis
Humans
Peptic Ulcer*
Retrospective Studies
Epinephrine
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