Endoscopic ethanol injection for treatment of bleeding peptic ulcer.
We treated three children aged 10, 11 and 13 years with actively bleeding ulcers using local endoscopic injection of pure ethanol. Ethanol was injected into several sites around a visible vessel with or without bleeding. Haemostasis following ethanol injection therapy was confirmed by endoscopy performed the day after treatment. No rebleeding was observed. There were no complications related to the procedure. Injection therapy is technically simple and inexpensive. Conclusion Our results suggest that endoscopic ethanol injection is safe and may be the treatment of choice for control of bleeding from peptic ulcers in children.
Department of Pediatrics, Sendai City Hospital, Japan.
S
S
Kato
A
A
Ozawa
K
K
Ebina
H
H
Nakagawa
D000293:Adolescent; D002648:Child; D004381:Duodenal Ulcer / Q000150:complications / Q000628:therapy; D004384:Duodenoscopy; D000431:Ethanol / Q000008:administration & dosage*; D005260:Female; D005773:Gastroscopy; D006801:Humans; D007267:Injections / Q000379:methods; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000188:drug therapy*; D013276:Stomach Ulcer / Q000150:complications / Q000628:therapy
D000431:Ethanol