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KMID : 0359019950150030458
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Korean Journal of Gastrointestinal Endoscopy
1995 Volume.15 No. 3 p.458 ~ p.464
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Hemostatic Effect of Endoscopic Injection with Hypertonic Saline-Epinephrine(HS-E) Solution in Perptic Ulcer Bleeding
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육은주
서광식/김성걸/김진희/임의혁/김남재/정현용/이헌영/김영건
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Abstract
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Peptic ulcer bleeding is the most common cause of upper gastrointestinal bleeding. The efficacy of local injection of hypertonic saline-epinephrine(HS-E)solution around the base of the bleeding vessels under endoscopy way assessed. During the
period
between January 1991 and August 1994, 83 patients with active bleeding or stigmata of recent hemorrhage in peptic ulcers were included to this study. The major cause of bleeding in this study consisted of gastric ulcers(60) and duodenal
ulcers(23).
Twenty patients rebled and seven required emergency surgery and two patients were died. Definitive hemostasis was achieved in 74(89.3%). Two patients rebled due to mucosal ischemia induced by HS-E injection, other significant complication was not
found.
We conclude that the endoscopic injection with hypertonic saline-epinephrine solution is one the effective and safe therapeutic modality in peptic ulcer bleeding.
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KEYWORD
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