Heater-probe treatment of bleeding peptic ulcers.
Fifty-six patients with actively bleeding peptic ulcers were treated with the heater-probe unit. Initial haemostasis was achieved in 48 patients (85.7%). The mean number of heater-probe applications was 6.7 pulses at a setting of 25-30 J. Rebleeding occurred in 11 patients (19.6%). Five were successfully treated with repeat heater-probe treatment, 5 required emergency surgery, and 1 rebleeding was stopped by adrenaline injection. The complications included one perforation in a patient with duodenal ulcer. The overall mortality was 2/56 (3.6%). Heater-probe treatment is an effective and safe haemostatic method for controlling actively bleeding ulcers.
Sung
J Y
JY
Combined Endoscopy Unit, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, N.T.
Chung
S C
SC
Lo
K K
KK
Leung
J W
JW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004381:Duodenal Ulcer / Q000150:complications; D005260:Female; D006489:Hemostatic Techniques / Q000009:adverse effects; D006358:Hot Temperature; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000628:therapy*; D012008:Recurrence; D013276:Stomach Ulcer / Q000150:complications