Endoscopic management of early postoperative anastomotic hemorrhage / 中华胃肠外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>The study aimed to evaluate the efficacy of endoscopic therapy for early postoperative anastomotic hemorrhage.</p><p><b>METHODS</b>Fourteen patients experienced an episode of early postoperative anastomotic hemorrhage and were treated endoscopically from January 2005 to June 2010. The clinical data was analyzed retrospectively.</p><p><b>RESULTS</b>Fourteen patients(9 males and 5 females, median age 57.5 years, range 26-74 years) were diagnosed with postoperative hemorrhage between 6 hours to 14 days after surgery. The blood loss ranged from 500 to 1500 ml. Sclerosing agent injection, electrocoagulation, and hemoclips were attempted to control the bleeding. Endoscopic approach to control early postoperative anastomotic hemorrhage was successful in all the patients. No recurrent bleeding was observed during the follow-up. No complications associated with endoscopic therapy.</p><p><b>CONCLUSION</b>Endoscopic approach for the management of early postoperative anastomotic hemorrhage is feasible with high success rate and associated with no complications.</p>