title: Comparison of heater probe coagulation and argon plasma coagulation in the management of Mallory-Weiss tears and high-risk ulcer bleeding.
abstract: OBJECTIVE
  Upper gastrointestinal (GI) bleeding is a common medical emergency. Endoscopic treatments often lead to better therapeutic outcomes than conventional conservative treatments. This study aimed to investigate and compare the use of heater probe coagulation (HPC) and argon plasma coagulation (APC) together with epinephrine injection for the treatment of Mallory-Weiss tears and high-risk ulcer bleeding.
  
  
  METHODS
  A total of 97 patients (54 in the HPC group and 43 in the APC group) who were diagnosed with upper GI bleeding secondary to a Mallory-Weiss tear or high-risk gastric or duodenal ulcers were included in the study. Lesions were classified according to the Forrest classification. The HPC and APC groups were compared in terms of initial haemostasis, re-bleeding in the early period, need for surgery, average need for transfusion, and duration of hospital stay.
  
  
  RESULTS
  There were no significant differences between the HPC and APC groups in terms of ensuring initial haemostasis (98% vs. 97.5%, p>0.05), re-bleeding rates (17% vs. 19%, p>0.05), need for surgery (2% vs. 9%, p>0.05), average need for transfusion (3.7±2.11 vs. 3.4±2.95 units, p>0.05), and average duration of hospital stay (4.6±2.24vs. 5.3±3.23days, p>0.05).
  
  
  CONCLUSIONS
  There was no difference between HPC and APC when used together with epinephrine injection for the treatment of Mallory-Weiss tear and high-risk ulcer bleeding.
authors.affiliation: Akdeniz University School of Medicine, Department of Gastroenterology, Antalya, Turkey. Electronic address: drmeteakin@hotmail.com.
authors.forename: Mete
authors.initials: M
authors.lastname: Akin
authors.affiliation: Burdur State Hospital, Department of Gastroenterology, Burdur, Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Alkan
authors.affiliation: Akdeniz University School of Medicine, Department of Gastroenterology, Antalya, Turkey.
authors.forename: Yasar
authors.initials: Y
authors.lastname: Tuna
authors.affiliation: Akdeniz University School of Medicine, Department of Gastroenterology, Antalya, Turkey.
authors.forename: Tolga
authors.initials: T
authors.lastname: Yalcinkaya
authors.affiliation: Akdeniz University School of Medicine, Department of Gastroenterology, Antalya, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Yildirim
mesh_terms: D057908:Argon Plasma Coagulation / Q000379:methods*; D017115:Catheter Ablation / Q000379:methods*; D004381:Duodenal Ulcer / Q000150:complications*; D016099:Endoscopy, Gastrointestinal; D004837:Epinephrine / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D013276:Stomach Ulcer / Q000150:complications*; D016896:Treatment Outcome; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
chemical_list: D014662:Vasoconstrictor Agents; D004837:Epinephrine
keywords: Argon plasma coagulation; Heater probe coagulation; Upper gastrointestinal bleeding