[Hemostatic effect of an endoscopic local injection of hypertonic saline-epinephrine (HS-E) solution on upper gastrointestinal bleeding--comparative study of this effect with and without visible vessel detection].
One hundred and ninety seven patients with upper gastrointestinal bleeding were each administered and endoscopic local injection of hypertonic saline epinephrine (HS-E) solution at our hospital over a 5-year period, from the Spring of 1981 to March of 1986. Peptic ulcers were found in 162 of the patient. Vessels could be visibly detected in the 148 (91.4%)-A group, but not in the 14 (8.6%)-B group. A comparison of the number of endoscopic local injections to each of these groups indicated no significant differences in types of bleeding, systemic complications, or sites of bleeding. The excellent hemostatic effect of HS-E is due to the fact that local injection of its solution can be repeated in large quantities for various types of bleeding.
Adachi
T
T
Department of Internal Medicine, Kinikyo Chuo Hospital, Sapporo, Japan.
Miyazaki
Y
Y
Asanuma
T
T
Masuda
W
W
Ueda
N
N
Naka
H
H
Kawauchi
H
H
Hirao
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D004837:Epinephrine / Q000008:administration & dosage* / Q000627:therapeutic use; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000188:drug therapy* / Q000473:pathology; D006489:Hemostatic Techniques; D006801:Humans; D006982:Hypertonic Solutions; D007267:Injections; D008297:Male; D008875:Middle Aged; D012965:Sodium Chloride / Q000008:administration & dosage
D006982:Hypertonic Solutions; D012965:Sodium Chloride; D004837:Epinephrine