[Endoscopic sclerotherapy of bleeding gastroduodenal ulcer. Our experience].
The Authors report their experience in the treatment of bleeding gastric and duodenal ulcers by means of endoscopic sclerotherapy. From August 1988 to December 1989, 104 patients with haematemesis and/or melena were observed at the Clinica Chirurgica Generale, Toracica e Vascolare-Università di Parma. Endoscopy, carried out in the first 24 hours, led to the diagnosis of a bleeding gastric or duodenal ulcer in 73 cases; 22 of these patients underwent emergency sclerotherapy using 1:10,000 Adrenaline in association with 1% Polydocanol. Results obtained are the following: absolute haemostasis in 20 patients (91%), and surgical intervention in the other 2 cases for renewed haemorrhage. Among patients endoscopically treated, one death (5%) was recorded. Further complications were not encountered. The Authors believe sclerotherapy is reliable and quick thus representing a considerable therapeutic advance in the treatment of gastroduodenal haemorrhage, notoriously at high death rate (8-10%).
Istituto di Clinica Chirurgica Generale, Toracica e Vascolare, Università degli Studi di Parma.
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P
Dell'Abate
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P
Carbognani
I
I
Karakè
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P
Soliani
M
M
Rusca
E
E
Foggi
D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000150:complications*; D004724:Endoscopy; D005260:Female; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery / Q000628:therapy*; D015911:Sclerotherapy; D013276:Stomach Ulcer / Q000150:complications*
La sclerosi endoscopica delle ulcere gastroduodenali sanguinanti. Nostra esperienza.