Subject(s)
Contrast Media/administration & dosage , Embolization, Therapeutic/methods , Hypertension, Portal/therapy , Adolescent , Adult , Aged , Aged, 80 and over , Embolization, Therapeutic/adverse effects , Esophageal and Gastric Varices/complications , Esophageal and Gastric Varices/therapy , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/therapy , Gels , Humans , Hypertension, Portal/complications , Middle AgedABSTRACT
The results of treatment of 15 patients with bleeding from varicose veins of the esophagus and stomach are discussed. Blakemore's tube and endoscopic sclerosing of the veins with 3% Thrombovar solution were applied for hemostasis. It is concluded that nonoperative measures are preferable. The most effective method of hemostasis in intensive bleeding is the use of Blakemore's tube for temporary arrest of bleeding followed by endoscopic sclerosing for preventing recurrent hemorrhage.
Subject(s)
Esophageal and Gastric Varices/complications , Gastrointestinal Hemorrhage/therapy , Hemostatic Techniques , Sclerotherapy , Adult , Endoscopy , Esophageal and Gastric Varices/therapy , Female , Gastrointestinal Hemorrhage/etiology , Humans , Male , Middle Aged , Sclerosing Solutions/administration & dosageABSTRACT
The authors suggest a method for endoscopic infiltration of glue under the base of a benign gastric tumor before its removal through an endoscope, for the prevention of bleeding from its seat and perforation of the organ. The method was used in removal of 116 benign tumors measuring from 0.5 to 5.0 cm in size. The results provide evidence of reliable prevention of these complications with the use of the suggested method.
Subject(s)
Electrosurgery/adverse effects , Gastrointestinal Hemorrhage/prevention & control , Polyps/surgery , Stomach Neoplasms/surgery , Tissue Adhesives , Administration, Topical , Adult , Aged , Electrosurgery/methods , Gastrointestinal Hemorrhage/etiology , Gastroscopy , Hemostasis, Endoscopic/methods , Hemostasis, Surgical , Humans , Male , Middle Aged , Polyps/blood supply , Stomach Neoplasms/blood supplyABSTRACT
A special medicinal glue MIK-T capable of infiltrating biological tissue by means of an endoscopic needle was developed. The authors suggest a method for glue endoscopic infiltration of the source of gastroduodenal bleeding for its arrest and prevention of a recurrence. Experimental study was undertaken to study the efficacy of glue endoscopic infiltration, determine the terms of glue resolution, and reveal the morphological changes in the zone of glue injection. The method of glue endoscopic infiltration was employed in complex treatment of 109 patients with acute gastroduodenal bleeding. The results provide evidence of the high efficacy of the method and its advantages over diathermocoagulation in arresting and preventing recurrences of acute gastroduodenal bleeding.
Subject(s)
Electrocoagulation , Gastrointestinal Hemorrhage/therapy , Tissue Adhesives/administration & dosage , Acute Disease , Adult , Animals , Disease Models, Animal , Dogs , Gastric Mucosa/drug effects , Gastrointestinal Hemorrhage/etiology , Gastroscopes , Humans , Injections, Intralesional , Middle AgedSubject(s)
Cyanoacrylates/administration & dosage , Gastrointestinal Hemorrhage/surgery , Mallory-Weiss Syndrome/complications , Adolescent , Adult , Aged , Endoscopy , Female , Gastrointestinal Hemorrhage/etiology , Hemostatic Techniques , Humans , Injections , Intraoperative Care , Male , Middle Aged , Peptic Ulcer Hemorrhage/surgerySubject(s)
Biliary Tract Diseases/surgery , Pancreatic Diseases/surgery , Sphincterotomy, Transduodenal , Adult , Aged , Aged, 80 and over , Biliary Tract Diseases/diagnostic imaging , Cholangiopancreatography, Endoscopic Retrograde , Emergencies , Endoscopes , Endoscopy/methods , Evaluation Studies as Topic , Fiber Optic Technology/instrumentation , Humans , Middle Aged , Pancreatic Diseases/diagnostic imaging , Sphincterotomy, Transduodenal/instrumentation , Sphincterotomy, Transduodenal/methodsABSTRACT
A single use of endoscopic arrest of gastroduodenal hemorrhages slightly improves therapeutic results for this group of patients but does not prevent hemorrhagic recurrence deteriorating sharply prognosis in patients with acute gastroduodenal hemorrhages. Daily endoscopic control with adhesive applications for 5-10 days will make it possible to reduce the number of repeated hemorrhages and to improve the results of therapy of patients with gastroduodenal hemorrhages. However, daily endoscopic inspections are not always possible and economically appropriate. Therefore, the author proposes a search for new methods of endoscopic arrest and prevention of recurrences of acute gastroduodenal hemorrhages.
