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KMID : 0359019940140020166
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Korean Journal of Gastrointestinal Endoscopy
1994 Volume.14 No. 2 p.166 ~ p.170
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Endoscopic Alcohol Injection Therapy in Bleeding Peptic Ulcers
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김태호
이풍렬/김용태/최상운/정현채/윤용범/송인성/최규완/김정룡
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Abstract
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Bleeding that recur or continues after hospital admission for an acutely bleeding peptic ulcer is the single most important factor adversely affecting prognosis. The endoscopic findings of stigmata of recent hemorrhage such as active bleeding, a
visible
vessel or fresh blood clots in peptic ulcer indicate relatively high rebleeding risk.
30 patients with stigmata of recent hemorrhage in bleeding peptic ulcers were treated by endoscopic alcohol injection therapy during the 3-year period from August 1989 to July 1992. 30 cases included 24 gastric ulcers, 4 duodenal ulcers, and 2
stomal
ulcers. 8 of these were actively bleeding at the time of endoscopy and non-bleeding visible were identified in 15 patients and fresh blood clots were present in 7.
12 of total 30 cases had rebleeding or continuous bleeding. 3 of 8 with active bleeding, 5 of 15 with non-bleeding bisible vessels, and 4 of 7 with fresh blood clots had rebleeding. Emergency operations were done in 4 cases. There was no
complication
such as perforation and mortality.
We think that this modality of endoscopic hemostasis is safe and simple, but further randomized controlled trials will be needed to evaluate the efficacy of hemostasis by endoscopic alcohol injection therapy.
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