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Titolo:
Efficacy of endoscopic isotonic saline-epinephrine injection for the management of active mallory - Weiss tears
Autore:
Peng, YC; Tung, CF; Chow, WK; Chang, CS; Chen, GH; Hu, WH; Yang, DY;
Indirizzi:
Taichung Vet Gen Hosp, Dept Emergency Med, Taichung 407, Taiwan Taichung Vet Gen Hosp Taichung Taiwan 407 ency Med, Taichung 407, Taiwan Taichung Vet Gen Hosp, Div Gastroenterol, Taichung 407, Taiwan Taichung Vet Gen Hosp Taichung Taiwan 407 oenterol, Taichung 407, Taiwan
Titolo Testata:
JOURNAL OF CLINICAL GASTROENTEROLOGY
fascicolo: 2, volume: 32, anno: 2001,
pagine: 119 - 122
SICI:
0192-0790(200102)32:2<119:EOEISI>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER GASTROINTESTINAL-TRACT; BLEEDING PEPTIC-ULCERS; HEMORRHAGE; ELECTROCOAGULATION;
Keywords:
endoscopic injection; epinephrine; isoronic saline; Maltory-Weiss tears;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Tung, CF Taichung Vet Gen Hosp, Dept Emergency Med, 160 Sec 3,Chung Kang Rd, Taichung 407, Taiwan Taichung Vet Gen Hosp 160 Sec 3,Chung Kang Rd Taichung Taiwan 407
Citazione:
Y.C. Peng et al., "Efficacy of endoscopic isotonic saline-epinephrine injection for the management of active mallory - Weiss tears", J CLIN GAST, 32(2), 2001, pp. 119-122

Abstract

Therapeutic endoscopy with isotonic saline-epinephrine (ISE) injection is a convenient and widely used procedure for hemostasis in upper gastrointestinal bleeding. We retrospectively evaluated 36 patients (from January 1996 to April 1999) who had been diagnosed with recent or active bleeding due toMallory-Weiss tears in emergency endoscopic examination. The endoscopic hemostatic method with ISE injection was performed in 15 of 36 patients. The other 21 patients received conservative treatment with hemodynamic support. Patient's clinical data, laboratory data, transfusion requirements, endoscopic findings, and length of hospital stays were evaluated. Initial hemoglobin was significantly lower in the ISE group than the conservative treatment group (9.74 +/- 2.86 g/dL vs. 12.57 +/- 2.80 g/dL, respectively: p < 0.01). Mean transfusion requirements were significantly higher in the ISE groupthan the conservative treatment group (7.26 +/- 8.78 units vs. 2.85 +/- 6.21 units, respectively; p < 0.1). Patients in the ISE group were supposed to be having a more severe bleeding episode. Most patients achieved initial hemostasis in the ISE group and the conservative treatment group (93% and 95%, respectively). The rebleeding rate was also similar in both groups (1 in 15 in the ISE group and 1 in 21 in the conservative treatment group). There was no significant difference in length of hospital stay and rebleeding between these two groups (3.47 +/- 1.92 days vs. 2.47 +/- 1.17 days, respectively: p = 0.89). The endoscopic ISE injection is an inexpensive. simple, convenient therapeutic method and it can achieve initial hemostasis for active Mallory-Weiss tears.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 21:53:34