[Fiberendoscopic injection therapy of bleeding gastrointestinal lesions (author's transl)].
In 28 patients with acute gastrointestinal bleeding emergency fiberendoscopy was combined with aethoxysclerole (1%) injection of the bleeding lesion with purpose to controll haemorrhage. In 61% of 31 proceudres done in patients with oesophageal varices (n = 19) haemorrhage was controlled, and in further 16% deminuation of bleeding intensity was noted. In the remaining cases (n = 7) the procedure was ineffective. Only patients with Child C liver cirrhosis having oesophageal varices stages III and IV finally died because of uncontrolled haemorrhage. In 9 patients with bleeding from other lesions (gastric erosions and ulcers, Mallory-Weiss-Syndrome, erosio simplex Dieulafoy) haemorrhage was controlled in 8 patients. The method is practicable and efficient, but does not determine better the final outcome of patients with livercirrhosis Child C having oesophageal varices stages III and IV. In other cases tube treatment was avoided. The operation lethality within the series was 1,5%.
D004724:Endoscopy; D004932:Esophageal and Gastric Varices / Q000150:complications; D005336:Fiber Optic Technology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008309:Mallory-Weiss Syndrome / Q000150:complications; D010438:Peptic Ulcer Hemorrhage / Q000628:therapy; D011092:Polyethylene Glycols / Q000008:administration & dosage* / Q000627:therapeutic use; D012597:Sclerosing Solutions / Q000008:administration & dosage*; D013276:Stomach Ulcer / Q000150:complications
D012597:Sclerosing Solutions; D011092:Polyethylene Glycols
Fiberendoskopische Unterspritzung bei akuten gastrointestinalen Blutungen.