[The place of endoscopic treatment in hemorrhagic ulcers].
INJECTIONS OF ADRENALINE: More than one third of upper gastrointestinal haemorrhages are still of ulcerous origin. In the case of active bleeding ulcers or ulcers with non-haemorrhagic visible vessels, endoscopy should be performed to stop bleeding. Injections of adrenaline, which combine efficacy, simplicity and absence of morbidity represent the treatment of choice for many. THE USE OF THERMAL METHODS: Spurting haemorrhages are probably the only haemorrhages that would benefit from injections of adrenaline combined with another haemostatic method, notably thermal. THE NEED FOR ASSOCIATED MEDICAL TREATMENT: Whatever the haemostatic method used, a powerful anti-secretory treatment administered intravenously must be associated since it will enhance the effects of endoscopic treatment.
Lesur
Gilles
G
Service d'Hépato-Gastroentérologie, Hôpital Ambroise Paré, 92104 Boulogne Cedex.
D002986:Clinical Trials as Topic; D004564:Electrocoagulation; D004837:Epinephrine / Q000008:administration & dosage; D019856:Ethanolamine / Q000008:administration & dosage; D016558:Hemostasis, Endoscopic; D006488:Hemostasis, Surgical; D006489:Hemostatic Techniques; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery / Q000628:therapy*; D000077423:Polidocanol; D011092:Polyethylene Glycols / Q000008:administration & dosage; D012008:Recurrence; D012307:Risk Factors; D012597:Sclerosing Solutions / Q000008:administration & dosage; D013997:Time Factors
D012597:Sclerosing Solutions; D000077423:Polidocanol; D011092:Polyethylene Glycols; D019856:Ethanolamine; D004837:Epinephrine