New Endoscopic Hemostasis Methods
Clinical Endoscopy
;
: 224-229, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-216906
ABSTRACT
Endoscopic treatment for non-variceal upper gastrointestinal bleeding has evolved over decades. Injection with diluted epinephrine is considered as a less than adequate treatment, and the current standard therapy should include second modality if epinephrine injection is used initially. Definitive hemostasis rate following mono-therapy with either thermo-coagulation or hemo-clipping compares favorably with dual therapies. The use of adsorptive powder (Hemo-spray) is a promising treatment although it needs comparative studies between hemospray and other modalities. Stronger hemo-clips with better torque control and wider span are now available. Over-the-scope clips capture a large amount of tissue and may prove useful in refractory bleeding. Experimental treatments include an endoscopic stitch device to over-sew the bleeding lesion and targeted therapy to the sub-serosal bleeding artery as guided by echo-endoscopy. Angiographic embolization of bleeding artery should be considered in chronic ulcers that fail endoscopic treatment especially in elderly patients with a major bleed manifested in hypotension.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artérias
/
Úlcera
/
Epinefrina
/
Hemostase Endoscópica
/
Endossonografia
/
Torque
/
Hemorragia
/
Hemostasia
/
Hipotensão
/
Minerais
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Clinical Endoscopy
Ano de publicação:
2012
Tipo de documento:
Artigo
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