[Endoscopic treatment of colon vascular ectasia during bleeding with injection of adrenaline solution at 1:10,000 and monopolar electrocoagulation: an alternative approach. Case report].
Gastrointestinal bleeding accounts for 2% of all adult hospital admissions each year. Vascular ectasia is one of the most frequently reported cause of lower gastrointestinal bleeding. In almost 80% of patients with bleeding vascular ectasia will stop spontaneously, but will often recur. Many treatments are proposed like superselective catheterization with infusion of vasoconstrictor by angiography, Laser photocoagulation, heater probe, bipolar electrocoagulation, hot biopsy forceps, have been used in colonoscopy, but some effects are short-lived others are so expensive and without an effective treatment. The authors present one case of bleeding vascular ectasia during colonoscopy submitted to a new, cheap and effective approach with injection a 1:10,000 solution of epinephrine following electrocoagulation by colonoscopy.
da Silva
L E
LE
Serviço de Endoscopia, Hopsital Universitário-Universidade de São Paulo.
Barros
M S
MS
Tafner
E
E
Averbach
M
M
Maruta
L M
LM
D000368:Aged; D003108:Colonic Diseases / Q000150:complications / Q000628:therapy*; D003113:Colonoscopy; D004108:Dilatation, Pathologic / Q000150:complications / Q000628:therapy; D004564:Electrocoagulation / Q000379:methods; D004837:Epinephrine / Q000627:therapeutic use*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D013684:Telangiectasis / Q000150:complications; D014652:Vascular Diseases / Q000150:complications / Q000628:therapy*; D014662:Vasoconstrictor Agents / Q000627:therapeutic use*
D014662:Vasoconstrictor Agents; D004837:Epinephrine
Tratamento endoscópico de ectasia vascular do cólon na vigência de sangramento com injeção de solução de adrenalina 1:10.000 e eletrocoagulação monopolar: uma abordagem alternativa. Relato de caso.