Endoscopic bipolar electrocoagulation in upper gastrointestinal bleeding.
A total of 213 cases of upper gastrointestinal bleeding treated by bipolar electrocoagulation (BPEC) were reviewed and its efficacy in the management of massive bleeding was evaluated. Initial hemostasis was achieved by BPEC in 97.6% cases with an overall rebleeding rate of 17.1%. The majority of rebleeding occurred in patients with acute mucosal lesions who had serious underlying medical problems. There were no complications related to the procedure. Endoscopic BPEC safely arrested oozing to spurting bleeding and contributed greatly to the control of upper gastrointestinal bleeding.
Ishii
M
M
Second Department of Internal Medicine, Kinki University School of Medicine, Osakasayama, Japan.
Yamada
S
S
Shiomi
M
M
Matsui
H
H
Hajiro
K
K
Yamamoto
T
T
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003131:Combined Modality Therapy; D004564:Electrocoagulation / Q000379:methods*; D016145:Endoscopy, Digestive System; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D008875:Middle Aged