Effectiveness of endoclips for the treatment of stigmata of recent hemorrhage in the colon of patients with acute lower gastrointestinal tract bleeding
| Autor: | Atul Kumar, Adrienne Chu, Bhawna Halwan, Everson L.A. Artifon |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastrointestinal bleeding Epinephrine Physiology Colon education Colonoscopy Gastroenterology Injections Injection epinephrine Recurrence Internal medicine Electrocoagulation Medicine Humans Vasoconstrictor Agents Aged Aged 80 and over Lower Gastrointestinal Tract medicine.diagnostic_test business.industry Hemostasis Endoscopic Hepatology Middle Aged medicine.disease Surgical Instruments Endoclip Surgery Treatment Outcome Hemostasis Female business Complication Gastrointestinal Hemorrhage |
| Zdroj: | Digestive diseases and sciences. 56(10) |
| ISSN: | 1573-2568 |
| Popis: | Coaptive thermo coagulation (CTC) for the treatment of stigmata of recent hemorrhage (SRH) in the colon is risky. We evaluated the safety and effectiveness of endoclips in 13 patients with acute lower gastrointestinal bleeding (GIB). Thirty-day re-bleeding and complication rates were comparable to a historical cohort of 41 patients (group 2) who underwent CTC/IE (injection epinephrine) for the management of acute lower GIB. There was no difference in the 30-day re-bleeding rates in the two groups. In group I, immediate hemostasis was successful in all patients. Three of 13 patients (23.1%) developed re-bleeding. In group II, 41 patients from six prior studies underwent CTC and/or IE for the treatment of HRS where 12 (29.3%) developed re-bleeding. There were no immediate complications. Endoclip deployment is as effective as CTC and/or IE for treatment of SRH in the colon. |
| Databáze: | OpenAIRE |
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