[A modified monopolar electrocoagulation probe for endoscopic treatment of gastrointestinal hemorrhage].

Abstract

A modified monopolar electrocoagulation probe for endoscopic treatment of gastrointestinal bleedings in special situations is described. The tip of the active electrode may be moved foreward or drawn back into a teflon catheter. Thereby, blood clots are removed from the tip of the probe. The device is easy to use, reliable in emergency endoscopies and can be employed with conventional high-frequency diathermy instruments. The probe is inexpensive. 49 patients with active gastrointestinal bleedings according to Forrest Ib were treated. In 40/49 patients permanent hemostasis could be achieved. In 4/49 patients recurrent bleedings were controlled after repeated electro-coagulation. 4/49 patients needed elective operation, one patient emergency operation. Complications by application of the described monopolar electrocoagulation probe did not occur. The area of necrosis according to electrocoagulation was small.

• Authors: W V Reimold
• Journal: Zeitschrift fur Gastroenterologie (Z Gastroenterol) Vol. 29 Issue 6 Pg. 271-5 (Jun 1991) ISSN: 0044-2771 [Print] Germany
• Vernacular Title: Eine modifizierte monopolare Elektrokoagulationssonde zur endoskopischen Behandlung gastrointestinaler Blutungen.
• PMID: 1926958 (Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Duodenal Ulcer (surgery)
• Electrocoagulation (instrumentation)
• Endoscopes, Gastrointestinal
• Gastrectomy
• Gastrointestinal Hemorrhage (surgery)
• Hemostasis, Endoscopic (instrumentation)
• Humans
• Mallory-Weiss Syndrome (surgery)
• Peptic Ulcer Hemorrhage (surgery)
• Postoperative Complications (surgery)
• Stomach Neoplasms (surgery)
• Stomach Ulcer (surgery)