[A modified monopolar electrocoagulation probe for endoscopic treatment of gastrointestinal hemorrhage].
A modified monopolar electrocoagulation probe for endoscopic treatment of gastrointestinal bleedings in special situations is described. The tip of the active electrode may be moved foreward or drawn back into a teflon catheter. Thereby, blood clots are removed from the tip of the probe. The device is easy to use, reliable in emergency endoscopies and can be employed with conventional high-frequency diathermy instruments. The probe is inexpensive. 49 patients with active gastrointestinal bleedings according to Forrest Ib were treated. In 40/49 patients permanent hemostasis could be achieved. In 4/49 patients recurrent bleedings were controlled after repeated electro-coagulation. 4/49 patients needed elective operation, one patient emergency operation. Complications by application of the described monopolar electrocoagulation probe did not occur. The area of necrosis according to electrocoagulation was small.
Reimold
W V
WV
Internistisch-Gastroenterologische Fachpraxis, Oberursel.
D004381:Duodenal Ulcer / Q000601:surgery; D004564:Electrocoagulation / Q000295:instrumentation*; D020776:Endoscopes, Gastrointestinal; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D016558:Hemostasis, Endoscopic / Q000295:instrumentation*; D006801:Humans; D008309:Mallory-Weiss Syndrome / Q000601:surgery; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery; D013276:Stomach Ulcer / Q000601:surgery
Eine modifizierte monopolare Elektrokoagulationssonde zur endoskopischen Behandlung gastrointestinaler Blutungen.