Endoscopic Injection Therapy in Bleeding Peptic Ulcers. Low Mortality in a High Risk Population
Endoscoric injection therapy was performed in 341 patients consecutively admitted with a bleeding peptic ulcer at high risk of further hemorrhage, assessed by the presence of active arterial bleeding or a nonbleeding visible vessel at emergency endoscopy. Initial hemostasis was achieved in 111 of 11...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
1992-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1992/416485 |
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| _version_ | 1849308651408326656 |
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| author | Joaqulm Balanzó Candid Villanueva Jorge C Espinós Sergio Sáinz German Soriano Dolors González Xavier Rius Jorge Puig La Calle Francisco Vilardell |
| author_facet | Joaqulm Balanzó Candid Villanueva Jorge C Espinós Sergio Sáinz German Soriano Dolors González Xavier Rius Jorge Puig La Calle Francisco Vilardell |
| author_sort | Joaqulm Balanzó |
| collection | DOAJ |
| description | Endoscoric injection therapy was performed in 341 patients consecutively admitted with a bleeding peptic ulcer at high risk of further hemorrhage, assessed by the presence of active arterial bleeding or a nonbleeding visible vessel at emergency endoscopy. Initial hemostasis was achieved in 111 of 119 actively bleeding patients (93%). Rebleeding ocurred in 75 cases (23%), at a mean interval of 53±52 h. A second emergency injection was a ttempted in 36 therapeutic failures, and was successful in 20 (55%). Emergency surgery was finally required in 52 patients (15%). Overall mortality was 4.9%. Major complications occurred in four patients (1.2%) (two perforations and two aspiration pneumonia); therefore, injection therapy is an effective and simple method for treating bleeding ulcers, achieving the initial control of hemorrhage in a majority of cases although the rate of further hemorrhage is not negligible and complications are not irrelevant. |
| format | Article |
| id | doaj-art-0ea3233cc4ce4f749a1c39b693942968 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 1992-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-0ea3233cc4ce4f749a1c39b6939429682025-08-20T03:54:24ZengWileyCanadian Journal of Gastroenterology0835-79001992-01-016526526810.1155/1992/416485Endoscopic Injection Therapy in Bleeding Peptic Ulcers. Low Mortality in a High Risk PopulationJoaqulm Balanzó0Candid Villanueva1Jorge C Espinós2Sergio Sáinz3German Soriano4Dolors González5Xavier Rius6Jorge Puig La Calle7Francisco Vilardell8Department of Gastroenterology and Division of General and Digestive Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainDepartment of Gastroenterology and Division of General and Digestive Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainDepartment of Gastroenterology and Division of General and Digestive Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainDepartment of Gastroenterology and Division of General and Digestive Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainDepartment of Gastroenterology and Division of General and Digestive Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainDepartment of Gastroenterology and Division of General and Digestive Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainDepartment of Gastroenterology and Division of General and Digestive Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainDepartment of Gastroenterology and Division of General and Digestive Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainDepartment of Gastroenterology and Division of General and Digestive Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainEndoscoric injection therapy was performed in 341 patients consecutively admitted with a bleeding peptic ulcer at high risk of further hemorrhage, assessed by the presence of active arterial bleeding or a nonbleeding visible vessel at emergency endoscopy. Initial hemostasis was achieved in 111 of 119 actively bleeding patients (93%). Rebleeding ocurred in 75 cases (23%), at a mean interval of 53±52 h. A second emergency injection was a ttempted in 36 therapeutic failures, and was successful in 20 (55%). Emergency surgery was finally required in 52 patients (15%). Overall mortality was 4.9%. Major complications occurred in four patients (1.2%) (two perforations and two aspiration pneumonia); therefore, injection therapy is an effective and simple method for treating bleeding ulcers, achieving the initial control of hemorrhage in a majority of cases although the rate of further hemorrhage is not negligible and complications are not irrelevant.http://dx.doi.org/10.1155/1992/416485 |
| spellingShingle | Joaqulm Balanzó Candid Villanueva Jorge C Espinós Sergio Sáinz German Soriano Dolors González Xavier Rius Jorge Puig La Calle Francisco Vilardell Endoscopic Injection Therapy in Bleeding Peptic Ulcers. Low Mortality in a High Risk Population Canadian Journal of Gastroenterology |
| title | Endoscopic Injection Therapy in Bleeding Peptic Ulcers. Low Mortality in a High Risk Population |
| title_full | Endoscopic Injection Therapy in Bleeding Peptic Ulcers. Low Mortality in a High Risk Population |
| title_fullStr | Endoscopic Injection Therapy in Bleeding Peptic Ulcers. Low Mortality in a High Risk Population |
| title_full_unstemmed | Endoscopic Injection Therapy in Bleeding Peptic Ulcers. Low Mortality in a High Risk Population |
| title_short | Endoscopic Injection Therapy in Bleeding Peptic Ulcers. Low Mortality in a High Risk Population |
| title_sort | endoscopic injection therapy in bleeding peptic ulcers low mortality in a high risk population |
| url | http://dx.doi.org/10.1155/1992/416485 |
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