[Value of the emergency therapeutic endoscopy in gastrointestinal hemorrhage]

Acta Gastroenterol Latinoam. 1996;26(4):215-20.
[Article in Spanish]

Abstract

The experience in therapeutic digestive endoscopy is presented using injection technique with adrenalin-polidocanol of gastrointestinal hemorrhage lesions. One hundred and twenty nine patients were treated endoscopically; the medium age was 60 years; in almost 80% of the cases, peptic ulcer disease were found. The effectiveness was 91.4% when one session procedure was used and in some cases two sessions were applied, giving a final total arrest of hemorrhage of 95.3%. The total mortality still remain high (16.3%) even without bleeding, due to coexisting poor general conditions of the patients. The technique of endoscopic injection is reviewed and the final results of our work are presented.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Endoscopy, Gastrointestinal*
  • Epinephrine / therapeutic use*
  • Female
  • Gastrointestinal Hemorrhage / therapy*
  • Hemostasis, Endoscopic / methods*
  • Humans
  • Male
  • Middle Aged
  • Polidocanol
  • Polyethylene Glycols / therapeutic use*
  • Prospective Studies
  • Recurrence
  • Sclerosing Solutions / therapeutic use*
  • Vasoconstrictor Agents / therapeutic use*

Substances

  • Sclerosing Solutions
  • Vasoconstrictor Agents
  • Polidocanol
  • Polyethylene Glycols
  • Epinephrine