Long-term results of heater probe thermocoagulation for patients with massive peptic ulcer bleeding: A prospective observation

H. J. Lin, C. L. Perng, K. Wang, S. D. Lee, C. H. Lee

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective: The long-term rebleeding rate of a bleeding ulcer after endoscopic hemostasis is, so far, not clear. The goal of this study is to present the natural history of bleeding ulcers after heater probe thermocoagulation. Methods: Between September 1986 and June 1991, we used heater probe to treat 202 patients with active bleeding or nonbleeding visible vessels at the ulcer craters. We were able to follow 159 patients for 2-7 yr (mean ± SD: 54.5 ± 19.9 months). Patients with active bleeding or nonbleeding visible vessels who did not receive endoscopic hemostasis or surgery in our previous studies served as controls. Results: The energy applied to each patient in the heater probe group was 886 ± 844 J (mean ± SD). The ultimate hemostatic rate in the heater probe group was 91.2% (145/159). In the period of long-term follow-up, there were 32 episodes of rebleeding in 24 patients (16.6%). Most rebleeding episodes (22/32) subsided spontaneously. Only one rebleeding patient died before a surgical attempt. The rebleeding rate was less than that of the controls (43/87, p <0.0001). Conclusion: Heater probe thermocoagulation is very effective in arrest of peptic ulcer bleeding. In the long-term follow-up, heater probe thermocoagulation can decrease rebleeding rate in most patients with peptic ulcer hemorrhage.

Original languageEnglish
Pages (from-to)44-47
Number of pages4
JournalAmerican Journal of Gastroenterology
Volume90
Issue number1
Publication statusPublished - 1995
Externally publishedYes

Fingerprint

Electrocoagulation
Peptic Ulcer
Observation
Hemorrhage
Endoscopic Hemostasis
Ulcer
Peptic Ulcer Hemorrhage
Hemostatics

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Long-term results of heater probe thermocoagulation for patients with massive peptic ulcer bleeding : A prospective observation. / Lin, H. J.; Perng, C. L.; Wang, K.; Lee, S. D.; Lee, C. H.

In: American Journal of Gastroenterology, Vol. 90, No. 1, 1995, p. 44-47.

Research output: Contribution to journalArticle

@article{b34835aec0fe4136bc7bcf9fcfdc50e1,
title = "Long-term results of heater probe thermocoagulation for patients with massive peptic ulcer bleeding: A prospective observation",
abstract = "Objective: The long-term rebleeding rate of a bleeding ulcer after endoscopic hemostasis is, so far, not clear. The goal of this study is to present the natural history of bleeding ulcers after heater probe thermocoagulation. Methods: Between September 1986 and June 1991, we used heater probe to treat 202 patients with active bleeding or nonbleeding visible vessels at the ulcer craters. We were able to follow 159 patients for 2-7 yr (mean ± SD: 54.5 ± 19.9 months). Patients with active bleeding or nonbleeding visible vessels who did not receive endoscopic hemostasis or surgery in our previous studies served as controls. Results: The energy applied to each patient in the heater probe group was 886 ± 844 J (mean ± SD). The ultimate hemostatic rate in the heater probe group was 91.2{\%} (145/159). In the period of long-term follow-up, there were 32 episodes of rebleeding in 24 patients (16.6{\%}). Most rebleeding episodes (22/32) subsided spontaneously. Only one rebleeding patient died before a surgical attempt. The rebleeding rate was less than that of the controls (43/87, p <0.0001). Conclusion: Heater probe thermocoagulation is very effective in arrest of peptic ulcer bleeding. In the long-term follow-up, heater probe thermocoagulation can decrease rebleeding rate in most patients with peptic ulcer hemorrhage.",
author = "Lin, {H. J.} and Perng, {C. L.} and K. Wang and Lee, {S. D.} and Lee, {C. H.}",
year = "1995",
language = "English",
volume = "90",
pages = "44--47",
journal = "American Journal of Gastroenterology",
issn = "0002-9270",
publisher = "Nature Publishing Group",
number = "1",

}

TY - JOUR

T1 - Long-term results of heater probe thermocoagulation for patients with massive peptic ulcer bleeding

T2 - A prospective observation

AU - Lin, H. J.

AU - Perng, C. L.

AU - Wang, K.

AU - Lee, S. D.

AU - Lee, C. H.

PY - 1995

Y1 - 1995

N2 - Objective: The long-term rebleeding rate of a bleeding ulcer after endoscopic hemostasis is, so far, not clear. The goal of this study is to present the natural history of bleeding ulcers after heater probe thermocoagulation. Methods: Between September 1986 and June 1991, we used heater probe to treat 202 patients with active bleeding or nonbleeding visible vessels at the ulcer craters. We were able to follow 159 patients for 2-7 yr (mean ± SD: 54.5 ± 19.9 months). Patients with active bleeding or nonbleeding visible vessels who did not receive endoscopic hemostasis or surgery in our previous studies served as controls. Results: The energy applied to each patient in the heater probe group was 886 ± 844 J (mean ± SD). The ultimate hemostatic rate in the heater probe group was 91.2% (145/159). In the period of long-term follow-up, there were 32 episodes of rebleeding in 24 patients (16.6%). Most rebleeding episodes (22/32) subsided spontaneously. Only one rebleeding patient died before a surgical attempt. The rebleeding rate was less than that of the controls (43/87, p <0.0001). Conclusion: Heater probe thermocoagulation is very effective in arrest of peptic ulcer bleeding. In the long-term follow-up, heater probe thermocoagulation can decrease rebleeding rate in most patients with peptic ulcer hemorrhage.

AB - Objective: The long-term rebleeding rate of a bleeding ulcer after endoscopic hemostasis is, so far, not clear. The goal of this study is to present the natural history of bleeding ulcers after heater probe thermocoagulation. Methods: Between September 1986 and June 1991, we used heater probe to treat 202 patients with active bleeding or nonbleeding visible vessels at the ulcer craters. We were able to follow 159 patients for 2-7 yr (mean ± SD: 54.5 ± 19.9 months). Patients with active bleeding or nonbleeding visible vessels who did not receive endoscopic hemostasis or surgery in our previous studies served as controls. Results: The energy applied to each patient in the heater probe group was 886 ± 844 J (mean ± SD). The ultimate hemostatic rate in the heater probe group was 91.2% (145/159). In the period of long-term follow-up, there were 32 episodes of rebleeding in 24 patients (16.6%). Most rebleeding episodes (22/32) subsided spontaneously. Only one rebleeding patient died before a surgical attempt. The rebleeding rate was less than that of the controls (43/87, p <0.0001). Conclusion: Heater probe thermocoagulation is very effective in arrest of peptic ulcer bleeding. In the long-term follow-up, heater probe thermocoagulation can decrease rebleeding rate in most patients with peptic ulcer hemorrhage.

UR - http://www.scopus.com/inward/record.url?scp=0028798615&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028798615&partnerID=8YFLogxK

M3 - Article

C2 - 7801948

AN - SCOPUS:0028798615

VL - 90

SP - 44

EP - 47

JO - American Journal of Gastroenterology

JF - American Journal of Gastroenterology

SN - 0002-9270

IS - 1

ER -