Is sclerosant injection mandatory after an epinephrine injection for arrest of peptic ulcer haemorrhage? A prospective, randomised, comparative study

Hwai Jeng Lin, Chin Lin Perng, Shou Dong Lee

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

A prospective, randomised, comparative study was performed to assess the need for a pure alcohol injection after an epinephrine injection in the arrest of active peptic ulcer bleeding. Sixty four patients with active ulcer bleeding were enrolled in the study. The two groups (epinephrine and epinephrine plus pure alcohol) were matched for sex, age, site of bleed, endoscopic findings, shock, haemoglobin, and concomitant illness at randomisation. The volume ofinjected epinephrine in the epinephrine and the epinephrine plus pure alcohol groups mean (SD) was 6.0 (3.0) ml and 5.5 (3.0) ml respectively (p>0.05). The volume of injected pure alcohol in the epinephrine plus pure alcohol group was 1.9 (1.1) ml. Bleeding was initially controlled in 31 (97%) of the epinephrine group and all of the epinephrine plus pure alcohol group. Rebleeding occurred in 11 (36%) of the epinephrine group and in five (16%) of the epinephrine plus pure alcohol group (p>0.05). Rebleeding was successfully controlled in some patients with treatment by a second injection. Other patients had heat probe thermocoagulation or surgery. Ultimate haemostatic rates were 69% (22/32) and 88% (28/32) for the epinephrine and the epinephrine plus pure alcohol groups respectively (p>0.05). The epinephrine plus pure alcohol group achieved a better haemostatic effect for spurting haemorrhage (9.10 v 5.11, p

Original languageEnglish
Pages (from-to)1182-1185
Number of pages4
JournalGut
Volume34
Issue number9
DOIs
Publication statusPublished - 1993
Externally publishedYes

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Peptic Ulcer Hemorrhage
Sclerosing Solutions
Epinephrine
Injections
Alcohols
Hemorrhage
Hemostatics
Electrocoagulation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Gastroenterology

Cite this

Is sclerosant injection mandatory after an epinephrine injection for arrest of peptic ulcer haemorrhage? A prospective, randomised, comparative study. / Lin, Hwai Jeng; Perng, Chin Lin; Lee, Shou Dong.

In: Gut, Vol. 34, No. 9, 1993, p. 1182-1185.

Research output: Contribution to journalArticle

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abstract = "A prospective, randomised, comparative study was performed to assess the need for a pure alcohol injection after an epinephrine injection in the arrest of active peptic ulcer bleeding. Sixty four patients with active ulcer bleeding were enrolled in the study. The two groups (epinephrine and epinephrine plus pure alcohol) were matched for sex, age, site of bleed, endoscopic findings, shock, haemoglobin, and concomitant illness at randomisation. The volume ofinjected epinephrine in the epinephrine and the epinephrine plus pure alcohol groups mean (SD) was 6.0 (3.0) ml and 5.5 (3.0) ml respectively (p>0.05). The volume of injected pure alcohol in the epinephrine plus pure alcohol group was 1.9 (1.1) ml. Bleeding was initially controlled in 31 (97{\%}) of the epinephrine group and all of the epinephrine plus pure alcohol group. Rebleeding occurred in 11 (36{\%}) of the epinephrine group and in five (16{\%}) of the epinephrine plus pure alcohol group (p>0.05). Rebleeding was successfully controlled in some patients with treatment by a second injection. Other patients had heat probe thermocoagulation or surgery. Ultimate haemostatic rates were 69{\%} (22/32) and 88{\%} (28/32) for the epinephrine and the epinephrine plus pure alcohol groups respectively (p>0.05). The epinephrine plus pure alcohol group achieved a better haemostatic effect for spurting haemorrhage (9.10 v 5.11, p",
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