title: Efficacy of ankaferd blood stopper application on non-variceal upper gastrointestinal bleeding.
abstract: OBJECTIVE
  To prospectively assess the hemostatic efficacy of the endoscopic topical use of ankaferd blood stopper (ABS) in active non-variceal upper gastrointestinal system (GIS) bleeding.
  
  
  METHODS
  Endoscopy was performed on 220 patients under suspiciency of GIS bleeding. Patients with active non-variceal upper gastrointestinal bleeding (NVUGIB) with a spurting or oozing type were included. Firstly, 8-10 cc of isotonic saline was sprayed to bleeding lesions. Then, 8 cc of ABS was applied on lesions in which bleeding continued after isotonic saline application. The other endoscopic therapeutic methods were applied on the lesions in which the bleeding did not stop after ABS.
  
  
  RESULTS
  Twenty-seven patients had an active NVUGIB with a spurting or oozing type and 193 patients were excluded from the study since they did not have non-variceal active bleeding. 8 cc of ABS was sprayed on to the lesions of 26 patients whose bleeding continued after isotonic saline and in 19 of them, bleeding stopped after ABS. Other endoscopic treatment methods were applied to the remaining patients and the bleeding was stopped with these interventions in 6 of 7 patients.
  
  
  CONCLUSIONS
  ABS is an effective method on NVUGIB, particularly on young patients with no coagulopathy. ABS may be considered as part of a combination treatment with other endoscopic methods.
authors.affiliation: Gokhan Gungor, Selcuk University, Meram School of Medicine, Gastroenterology Department, Meram, 42080 Konya, Turkey.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Gungor
authors.forename: M Hakan
authors.initials: MH
authors.lastname: Goktepe
authors.forename: Murat
authors.initials: M
authors.lastname: Biyik
authors.forename: Ilker
authors.initials: I
authors.lastname: Polat
authors.forename: Tuncer
authors.initials: T
authors.lastname: Tuna
authors.forename: Huseyin
authors.initials: H
authors.lastname: Ataseven
authors.forename: Ali
authors.initials: A
authors.lastname: Demir
keywords: Ankaferd blood stopper; Endoscopic treatment; Non-variceal upper gastrointestinal bleeding