Efficacy of Absolute Ethanol Injection for Upper Gastrointestinal Massive Bleedings with Hemorrhagic Shock

We applied the absolute ethanol injection method in 182 cases of massive bleeding with hemorrhagic shock before the performance of emergency endoscopy in 627 cases of upper gastrointestinal bleeding at our department and five related institutions since June 1979. Following results were obtained: Tem...

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Veröffentlicht in:The Tohoku Journal of Experimental Medicine 1988, Vol.156(1), pp.7-11
Hauptverfasser: ASAKI, SHIGERU, NISHIMURA, TOSHIAKI, SATO, AKIRA, YAMAGATA, RIN, OKUBO, SHUNJI, TOYOHARA, TOKIAKI, SAITO, YASUTOSHI, ITO, SHOICHIRO, MIYAZAKI, SHINGO
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container_issue 1
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container_title The Tohoku Journal of Experimental Medicine
container_volume 156
creator ASAKI, SHIGERU
NISHIMURA, TOSHIAKI
SATO, AKIRA
YAMAGATA, RIN
OKUBO, SHUNJI
TOYOHARA, TOKIAKI
SAITO, YASUTOSHI
ITO, SHOICHIRO
MIYAZAKI, SHINGO
description We applied the absolute ethanol injection method in 182 cases of massive bleeding with hemorrhagic shock before the performance of emergency endoscopy in 627 cases of upper gastrointestinal bleeding at our department and five related institutions since June 1979. Following results were obtained: Temporary hemostasis could not be obtained in only 2 (1.1%) out of 182 cases; in the remaining 180 cases bleeding was ceased. Rebleeding was seen in 15 cases (8.2%) and new bleeding in 17 cases (9.3%). In 21 (66%) of these cases hemostasis was obtained again by the absolute ethanol injection method. Eight patients (4.4%) underwent emergency operation and 4 patients (2.2%) died from bleeding. The complete hemostasis was obtained in 170 cases (93.4%).
doi_str_mv 10.1620/tjem.156.7
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Open Access Titles of Japan
subjects absolute ethanol injection method
Adolescent
Adult
Aged
Aged, 80 and over
cases with hemorrhagic shock
Duodenal Ulcer - complications
endoscopic hemostasis
Ethanol - therapeutic use
Female
Gastrointestinal Hemorrhage - complications
Gastrointestinal Hemorrhage - drug therapy
Humans
Male
Middle Aged
Shock, Hemorrhagic - drug therapy
Shock, Hemorrhagic - etiology
Stomach Ulcer - complications
UGI bleeding
title Efficacy of Absolute Ethanol Injection for Upper Gastrointestinal Massive Bleedings with Hemorrhagic Shock
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