title: [Hemospray: a novel therapeutic option in the management of acute upper gastrointestinal bleeding].
abstract: BACKGROUND
  Early endoscopic diagnosis and endoscopic therapy are very important in cases of acute gastrointestinal bleeding. Hemospray is an inorganic powder with hemostatic properties recently proposed for the treatment of acute gastrointestinal bleeding.
  
  
  OBJECTIVE
  The aim of the authors was to report the first Hungarian experience obtained with Hemospray in patients with acute gastrointestinal bleeding.
  
  
  METHODS
  During a 14-month period 10 acute upper gastrointestinal bleeder patients were treated endoscopically with Hemospray in 11 settings. In 5 patients previous endoscopic hemostatic methods failed and in the remaining 5 patients Hemospray was administrated as a first-line therapy.
  
  
  RESULTS
  Primary hemostasis was achieved in 9 of the 10 patients treated with Hemospray. Two patients died during hospitalization (uncontrolled arterial bleeding in one patient and hepatic encephalopathy in the other one patient). Primary hemostasis and hemodynamic stability were achieved in each of the 4 patients who had thrombopenia.
  
  
  CONCLUSIONS
  Hemospray as a rescue therapy may ensure primary hemostasis in severe acute gastrointestinal bleeding even in cases with thrombopenia.
authors: Petz Aladár Megyei Oktató Kórház Gasztroenterológiai Osztály Győr Vasvári Pál u. 2. 9024.
authors: Milán
authors: M
authors: Szalai
authors: Petz Aladár Megyei Oktató Kórház Onkoradiológiai Osztály Győr.
authors: Tamás
authors: T
authors: Kullmann
authors: Petz Aladár Megyei Oktató Kórház Gasztroenterológiai Osztály Győr Vasvári Pál u. 2. 9024.
authors: Henryka
authors: H
authors: Durcsán
authors: Petz Aladár Megyei Oktató Kórház Gasztroenterológiai Osztály Győr Vasvári Pál u. 2. 9024.
authors: Henriett
authors: H
authors: Regőczi
authors: Petz Aladár Megyei Oktató Kórház Gasztroenterológiai Osztály Győr Vasvári Pál u. 2. 9024.
authors: Gyöngyi
authors: G
authors: Kiss
authors: Petz Aladár Megyei Oktató Kórház Gasztroenterológiai Osztály Győr Vasvári Pál u. 2. 9024.
authors: István
authors: I
authors: Rácz
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008903:Minerals / Q000627:therapeutic use*; D011208:Powders; D016896:Treatment Outcome
chemical_list: D006490:Hemostatics; D008903:Minerals; D011208:Powders; C581750:hemospray
keywords: Hemospray; endoscopic hemostasis; endoszkópos vérzéscsillapítás; thrombopenia