Heater probe thermocoagulation for high-risk patients who show rebleeding from peptic ulcers.

Abstract

AIM:

To investigate whether heater probe therapy is effective for patients showing rebleeding from peptic ulcers.

METHODS:

We retrospectively reviewed the case profiles in our previous studies on endoscopic therapy for high-risk patients with peptic ulcer bleeding in the past two decades. We analysed the outcomes of 191 patients who showed rebleeding after initial endoscopic haemostasis and received endoscopic therapy with heater probe thermocoagulation.

RESULTS:

A total of 191 patients showing rebleeding received heater probe thermocoagulation. After re-therapy, 158 patients (82.7%) achieved ultimate haemostasis. Twenty-five of the 33 patients who failed to achieve haemostasis received surgical intervention. Ten patients (5.2%) died within 1 month after re-therapy.

CONCLUSION:

Heater probe thermocoagulation can be used as the first choice for management of patients showing rebleeding after initial endoscopic therapy.

• Authors: Yu-Hsi Hsieh, Hwai-Jeng Lin
• Journal: The New Zealand medical journal (N Z Med J) Vol. 124 Issue 1341 Pg. 38-44 (Aug 26 2011) ISSN: 1175-8716 [Electronic] New Zealand
• PMID: 21959634 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Epinephrine

Topics

• Adult
• Aged
• Aged, 80 and over
• Combined Modality Therapy
• Electrocoagulation (methods)
• Epinephrine (therapeutic use)
• Female
• Hemostasis, Endoscopic (methods)
• Hot Temperature (therapeutic use)
• Humans
• Male
• Middle Aged
• Peptic Ulcer Hemorrhage (surgery, therapy)
• Postoperative Complications (etiology, mortality)
• Retrospective Studies
• Survival Analysis
• Treatment Outcome