科研之友
微信
新浪微博
Facebook
分享链接
摘要
Objective The cum of this study was to compare the effectiveness and safety of argon plasma coagulation (APC) method that has recently been started to be used to epinephrine injection (sclerotherapy) in the endoscopic management of nonvariceal upper gastrointestinal bleeding (UGIB)
Material and Method. Patients (8 female 3 male age 61 15 8) applied with nonvariceal UGIB and treated with APC endoscopically were allocated to the study Patients (20 female 10 male age 62 7 18 3) applied with nonvariceal UGIB and treated with sclerotherapy with endoscopic epinephrine (1/10000) were allocated as a control group Age of the patients gender complaints (hematemesis melena) during application drug use (acetyl salicylic acid warfarin nonsteroidal anti inflammatory drugs (NSAI)) hemoglobin (Hb) level during application and discharge endoscopic diagnosis number of blood transfusion and drug treatment methods were noted
Results There was no difference between APC applied patients and the patients treated with sclerotherapy in respect to the age of the patients gender presence of hematemesis and melena complaints during application NSAI drug use acetyl salicylic acid and warfarin use Hb level during application and discharge number of blood transfusion length of hospital stay surgical and mortality rate (p>0 05) APC was applied endoscopically diagnosed as hemorrhagic erosive gastritis in addition to the patients applied for peptic ulcer
Conclusion APC application is an effective method in endoscopic treatment of nonvariceal upper GI bleeding The ease of application of procedure in APC applied patients a noncontact and controllable depth of coagulation observation of the cessation of bleeding during application endoscopically applicability in patients with hemorrhagic erosive gastritis are the advantages
- 出版日期2010-12
