Endoscopic hemoclip versus triclip placement in patients with high-risk peptic ulcer bleeding

Hwai Jeng Lin, Wen Ching Lo, Yang Chih Cheng, Chin Lin Perng

研究成果: 雜誌貢獻文章

35 引文 斯高帕斯(Scopus)

摘要

BACKGROUND: Hemoclip placement is an effective endoscopic therapy for peptic ulcer bleeding. Triclip is a novel clipping device with three prongs over the distal end. So far, there is no clinical study concerning the hemostatic effect of triclip placement. AIM: To determine the hemostatic effect of the triclip as compared with that of the hemoclip. METHODS: A total of 100 peptic ulcer patients with active bleeding or nonbleeding visible vessels received endoscopic therapy with either hemoclip (N = 50) or triclip placement (N = 50). After obtaining initial hemostasis, they received omeprazole 40 mg intravenous infusion every 12 h for 3 days. The main outcome assessment was hemostatic rate and rebleeding rate at 14 days. RESULTS: Initial hemostasis was obtained in 47 patients (94%) of the hemoclip group and in 38 patients (76%) of the triclip group (P = 0.011). Rebleeding episodes, volume of blood transfusion, the hospital stay, numbers of patients requiring urgent operation, and mortality were not statistically different between the two groups. CONCLUSION: Hemoclip is superior to triclip in obtaining primary hemostasis in patients with high-risk peptic ulcer bleeding. In bleeders located over difficult-to-approach sites, hemoclip is more ideal than triclip.

原文英語
頁(從 - 到)539-543
頁數5
期刊American Journal of Gastroenterology
102
發行號3
DOIs
出版狀態已發佈 - 三月 2007
對外發佈Yes

ASJC Scopus subject areas

  • Gastroenterology

指紋 深入研究「Endoscopic hemoclip versus triclip placement in patients with high-risk peptic ulcer bleeding」主題。共同形成了獨特的指紋。

  • 引用此