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 |
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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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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%).</description><identifier>ISSN: 0040-8727</identifier><identifier>EISSN: 1349-3329</identifier><identifier>DOI: 10.1620/tjem.156.7</identifier><identifier>PMID: 3264090</identifier><language>eng</language><publisher>Japan: Tohoku University Medical Press</publisher><subject>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</subject><ispartof>The Tohoku Journal of Experimental Medicine, 1988, Vol.156(1), pp.7-11</ispartof><rights>Tohoku University Medical Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-3332bc0d0c84d830feb2807e6aadae0ab5af04a2a11025ac837089485824cc143</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,1884,4025,27925,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3264090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ASAKI, SHIGERU</creatorcontrib><creatorcontrib>NISHIMURA, TOSHIAKI</creatorcontrib><creatorcontrib>SATO, AKIRA</creatorcontrib><creatorcontrib>YAMAGATA, RIN</creatorcontrib><creatorcontrib>OKUBO, SHUNJI</creatorcontrib><creatorcontrib>TOYOHARA, TOKIAKI</creatorcontrib><creatorcontrib>SAITO, YASUTOSHI</creatorcontrib><creatorcontrib>ITO, SHOICHIRO</creatorcontrib><creatorcontrib>MIYAZAKI, SHINGO</creatorcontrib><title>Efficacy of Absolute Ethanol Injection for Upper Gastrointestinal Massive Bleedings with Hemorrhagic Shock</title><title>The Tohoku Journal of Experimental Medicine</title><addtitle>Tohoku J. Exp. Med.</addtitle><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%).</description><subject>absolute ethanol injection method</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>cases with hemorrhagic shock</subject><subject>Duodenal Ulcer - complications</subject><subject>endoscopic hemostasis</subject><subject>Ethanol - therapeutic use</subject><subject>Female</subject><subject>Gastrointestinal Hemorrhage - complications</subject><subject>Gastrointestinal Hemorrhage - drug therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Shock, Hemorrhagic - drug therapy</subject><subject>Shock, Hemorrhagic - etiology</subject><subject>Stomach Ulcer - complications</subject><subject>UGI bleeding</subject><issn>0040-8727</issn><issn>1349-3329</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kDFv2zAQRomgReq6WboX4NShgN2jSInSmCZuEiBFhjQzcaJOFlVJdEm6Rf595drwcje8D-8OH2MfBaxFkcHX1NO4Fnmx1hdsIaSqVlJm1Ru2AFCwKnWm37H3MfYAUoEuLtmlzAoFFSxYv2lbZ9G-ct_y6zr6YZ-Ib1KHkx_4w9STTc5PvPWBv-x2FPgdxhS8mxLF5CYc-A-M0f0h_m0gaty0jfyvSx2_p9GH0OHWWf7cefvrA3vb4hDp6rSX7OX75ufN_erx6e7h5vpxZZXK0_y6zGoLDdhSNaWEluqsBE0FYoMEWOfYgsIMhYAsR1tKDWWlyrzMlLVCySX7fPTugv-9n780o4uWhgEn8vtodJnnIOYzS_blGLTBxxioNbvgRgyvRoA5FGsOxZq5WKPn8KeTdV-P1JyjpyZnfnvkfUy4pTPHkJwd6L9KVLPzoBOnqc_YdhgMTfIfwriNaA</recordid><startdate>1988</startdate><enddate>1988</enddate><creator>ASAKI, SHIGERU</creator><creator>NISHIMURA, TOSHIAKI</creator><creator>SATO, AKIRA</creator><creator>YAMAGATA, RIN</creator><creator>OKUBO, SHUNJI</creator><creator>TOYOHARA, TOKIAKI</creator><creator>SAITO, YASUTOSHI</creator><creator>ITO, SHOICHIRO</creator><creator>MIYAZAKI, SHINGO</creator><general>Tohoku University Medical Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1988</creationdate><title>Efficacy of Absolute Ethanol Injection for Upper Gastrointestinal Massive Bleedings with Hemorrhagic Shock</title><author>ASAKI, SHIGERU ; NISHIMURA, TOSHIAKI ; SATO, AKIRA ; YAMAGATA, RIN ; OKUBO, SHUNJI ; TOYOHARA, TOKIAKI ; SAITO, YASUTOSHI ; ITO, SHOICHIRO ; MIYAZAKI, SHINGO</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-3332bc0d0c84d830feb2807e6aadae0ab5af04a2a11025ac837089485824cc143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>absolute ethanol injection method</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>cases with hemorrhagic shock</topic><topic>Duodenal Ulcer - complications</topic><topic>endoscopic hemostasis</topic><topic>Ethanol - therapeutic use</topic><topic>Female</topic><topic>Gastrointestinal Hemorrhage - complications</topic><topic>Gastrointestinal Hemorrhage - drug therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Shock, Hemorrhagic - drug therapy</topic><topic>Shock, Hemorrhagic - etiology</topic><topic>Stomach Ulcer - complications</topic><topic>UGI bleeding</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ASAKI, SHIGERU</creatorcontrib><creatorcontrib>NISHIMURA, TOSHIAKI</creatorcontrib><creatorcontrib>SATO, AKIRA</creatorcontrib><creatorcontrib>YAMAGATA, RIN</creatorcontrib><creatorcontrib>OKUBO, SHUNJI</creatorcontrib><creatorcontrib>TOYOHARA, TOKIAKI</creatorcontrib><creatorcontrib>SAITO, YASUTOSHI</creatorcontrib><creatorcontrib>ITO, SHOICHIRO</creatorcontrib><creatorcontrib>MIYAZAKI, SHINGO</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Tohoku Journal of Experimental Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ASAKI, SHIGERU</au><au>NISHIMURA, TOSHIAKI</au><au>SATO, AKIRA</au><au>YAMAGATA, RIN</au><au>OKUBO, SHUNJI</au><au>TOYOHARA, TOKIAKI</au><au>SAITO, YASUTOSHI</au><au>ITO, SHOICHIRO</au><au>MIYAZAKI, SHINGO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Absolute Ethanol Injection for Upper Gastrointestinal Massive Bleedings with Hemorrhagic Shock</atitle><jtitle>The Tohoku Journal of Experimental Medicine</jtitle><addtitle>Tohoku J. Exp. Med.</addtitle><date>1988</date><risdate>1988</risdate><volume>156</volume><issue>1</issue><spage>7</spage><epage>11</epage><pages>7-11</pages><issn>0040-8727</issn><eissn>1349-3329</eissn><abstract>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%).</abstract><cop>Japan</cop><pub>Tohoku University Medical Press</pub><pmid>3264090</pmid><doi>10.1620/tjem.156.7</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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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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