Abstract | BACKGROUND: METHODS: This study was conducted between March 2000 and March 2003. We analyzed 107 consecutive patients admitted to our department of trauma and emergency surgery with upper gastrointestinal bleeding. Endoscopy was performed on all 107 patients and bleeding ulcers were treated with injection of diluted epinephrine. RESULTS: Recurrent bleeding was seen in 21 patients (19.6%), all of whom underwent a second endoscopy. Four patients (3.7%) required a third endoscopy session and nine patients (8.5%) needed surgery after endoscopy failed. There were two mortalities (1.9%). The nine patients who required surgery and the two patients who died were all in the Forrest Ia and Ib groups of acute UGI hemorrhage. DISCUSSION:
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Authors | Cemalettin Ertekin, Hakan Yanar, Korhan Taviloglu, Recep Guloglu, Orhan Alimoglu |
Journal | Journal of laparoendoscopic & advanced surgical techniques. Part A
(J Laparoendosc Adv Surg Tech A)
Vol. 14
Issue 3
Pg. 147-52
(Jun 2004)
ISSN: 1092-6429 [Print] United States |
PMID | 15245666
(Publication Type: Journal Article)
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Chemical References |
- Vasoconstrictor Agents
- Epinephrine
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Endoscopy, Gastrointestinal
- Epinephrine
(administration & dosage)
- Female
- Gastrointestinal Hemorrhage
(drug therapy, mortality, surgery)
- Hemostatic Techniques
- Humans
- Injections, Intralesional
- Male
- Middle Aged
- Peptic Ulcer
(complications, surgery)
- Recurrence
- Retreatment
- Survival Rate
- Vasoconstrictor Agents
(administration & dosage)
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