title: Monopolar soft-mode coagulation using hemostatic forceps for peptic ulcer bleeding.
abstract: OBJECTIVE
  Upper gastrointestinal hemorrhage from bleeding peptic ulcer is sometimes difficult to treat by conventional endoscopic methods. Recently, monopolar electrocoagulation using a soft-coagulation system and hemostatic forceps (soft coagulation) has been used to prevent bleeding during endoscopic submucosal dissection. The aim of this study was to assess the safety and efficacy of soft coagulation in the treatment of bleeding peptic ulcer.
  
  
  METHODS
  A total of 39 patients with peptic ulcers were treated using soft coagulation at our hospital between January 2005 and March 2010. Emergency treatment employed an ERBE soft-mode coagulation system using hemostatic forceps. Second-look endoscopy was performed to evaluate the efficacy of prior therapy. Initial hemostasis was defined as accomplished by soft coagulation, with or without other endoscopic therapy prior to soft coagulation. The rate of initial hemostasis, rebleeding, and ultimate hemostasis were retrospectively analyzed.
  
  
  RESULTS
  The study subjects were 31 men and 8 women with a mean age of 68.3±13.7 years, with 29 gastric ulcers and 10 duodenal ulcers. Initial hemostasis was achieved in 37 patients (95%). During follow-up, bleeding recurred in two patients, who were retreated with soft coagulation.
  
  
  CONCLUSIONS
  The monopolar soft coagulation is feasible and safe for treating bleeding peptic ulcers.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Yamasaki
authors.forename: Ryuta
authors.initials: R
authors.lastname: Takenaka
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Nunoue
authors.forename: Yoshiyasu
authors.initials: Y
authors.lastname: Kono
authors.forename: Koji
authors.initials: K
authors.lastname: Takemoto
authors.forename: Akihiko
authors.initials: A
authors.lastname: Taira
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Tsugeno
authors.forename: Shigeatsu
authors.initials: S
authors.lastname: Fujiki
mesh_terms: D000328:Adult; D000368:Aged; D004564:Electrocoagulation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery*; D013525:Surgical Instruments