Heat probe thermocoagulation as a substitute for surgical intervention to arrest massive peptic ulcer hemorrhage: An experience in 153 cases

H. J. Lin, F. Y. Lee, C. Y. Chan, Z. C. Huang, W. M. Kang, C. H. Lee, S. D. Lee, Y. T. Tsai

研究成果: 雜誌貢獻文章

8 引文 斯高帕斯(Scopus)

摘要

In a period of 2 years 7 months, we performed heat probe (HP) thermocoagulation in 153 cases of massive peptic ulcer hemorrhage. The male/female sex ratio was 125/28. The average age was 57.6 ± 1.3 years (mean ± SEM; range, 17 to 88). There were 69 cases (45.1%) of spurting hemorrhage, 50 cases (32.7%) of oozing hemorrhage, and 34 cases (22.2%) of nonbleeding visible vessels. Seventy-seven patients (50.3%) were in shock before therapy. After therapy we obtained initial success in 147 cases (96.1%). Rebleeding episodes occurred in 23 patients (15.6%) within 1 month after therapy. Nineteen patients received a second therapy, and treatment in 15 of these cases (78.9%) was ultimately successful. Finally, treatment in 142 cases (92.8%) was ultimately successful. The duration of hospitalization was 6.3 ± 0.4 days (mean ± SEM). After discharge all patients were followed at the outpatient department for at least 1 month. Sixty-seven patients were followed endoscopically for at least 2 to 3 months after therapy. Fifty-six patients (83.6%) had a healed scar at the previous bleeding site 2 months after therapy, and 62 patients (92.5%) had a healed scar 3 months after therapy. We conclude that HP thermocoagulation is an ideal and reliable modality of therapeutic endoscopy in arrest of massive peptic ulcer hemorrhage. HP thermocoagulation may become the first choice of therapy for massive peptic ulcer bleeding in the near future.

原文英語
頁(從 - 到)18-21
頁數4
期刊Surgery
108
發行號1
出版狀態已發佈 - 1990
對外發佈Yes

ASJC Scopus subject areas

  • Surgery

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    Lin, H. J., Lee, F. Y., Chan, C. Y., Huang, Z. C., Kang, W. M., Lee, C. H., Lee, S. D., & Tsai, Y. T. (1990). Heat probe thermocoagulation as a substitute for surgical intervention to arrest massive peptic ulcer hemorrhage: An experience in 153 cases. Surgery, 108(1), 18-21.