Heater probe in massive peptic ulcer hemorrhage and shock

Hwai Jeng Lin, Yang Te Tsai, Shou Dong Lee, Kwok Hung Lai, Fa Yauh Lee, Ching Yi Lin, Chen Hsen Lee

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

We treated 35 patients in shock from massive peptic ulcer hemorrhage with the heater probe HP). Twelve of them (34.3%) were poor surgical candidates. Their mean age was 62.3 years. All had massive bleeding, requiring an average of 2,300 ml of blood transfusion. The average lowest mean hemoglobin was 7.94 g/dl. We used the Olympus GIF-1T10 and the HP unit, applying an average of 899 J to each bleeder. In 34 patients (97.1%) hemostasis was achieved after initial treatment. Six patients (17.6%) rebled within 1 week. With HP therapy in those six we achieved hemostasis in five (83.3%). Ultimately, only two cases failed in this study, to give a success rate of 94.3% (33/35). We conclude that HP thermocoagulation may, in the near future, replace operations in many patients with massive peptic ulcer hemorrhage.

Original languageEnglish
Pages (from-to)623-626
Number of pages4
JournalJournal of Clinical Gastroenterology
Volume10
Issue number6
Publication statusPublished - 1988
Externally publishedYes

Keywords

  • Heater probe
  • Shock
  • Thermocoagulation
  • Upper gastrointestinal bleeding

ASJC Scopus subject areas

  • Gastroenterology

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  • Cite this

    Lin, H. J., Tsai, Y. T., Lee, S. D., Lai, K. H., Lee, F. Y., Lin, C. Y., & Lee, C. H. (1988). Heater probe in massive peptic ulcer hemorrhage and shock. Journal of Clinical Gastroenterology, 10(6), 623-626.