ENDOSCOPIC INJECTION THERAPY FOR BLEEDING PEPTIC-ULCER - A COMPARISON OF ADRENALINE ALONE WITH ADRENALINE PLUS ETHANOLAMINE OLEATE

被引:72
作者
CHOUDARI, CP [1 ]
PALMER, KR [1 ]
机构
[1] WESTERN GEN HOSP,GASTROINTESTINAL UNIT,EDINBURGH EH4 2XU,SCOTLAND
关键词
D O I
10.1136/gut.35.5.608
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
One hundred and seven consecutive patients presenting with significant peptic ulcer haemorrhage were randomised to endoscopic injection with 3-10 ml of 1:100 000 adrenaline (55 patients, group 1) or to a combination of adrenaline and 5% ethanolamine (52 patients, group 2). All had major stigmata of haemorrhage and endoscopic injection was undertaken by a single endoscopist. The groups were well matched with regard to risk factors. Rebleeding occurred in eight of the group 1 patients and seven in the group 2 patients; surgical operation rates, median blood transfusion requirements, and hospital stay were similar in both groups. The efficacy of either form of injection was similar whether patients presented with active bleeding or a nonbleeding visible vessel. No complications occurred. In patients presenting with significant peptic ulcer bleeding, the addition of a sclerosant confers no advantage over injection with adrenaline alone.
引用
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页码:608 / 610
页数:3
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