Epinephrine plus argon plasma or heater probe coagulation in ulcer bleeding

AIM:To compare the effectiveness of argon plasma coagulation (APC) and heater probe coagulation (HPC) in non-variceal upper gastrointestinal bleeding.METHODS:Eighty-five (18 female,67 male) patients admitted for acute gastrointestinal bleeding due to gastric or duodenal ulcer were included in the st...

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Veröffentlicht in:World journal of gastroenterology : WJG 2011-09, Vol.17 (36), p.4109-4112
Hauptverfasser: Karaman, Ahmet, Baskol, Mevlut, Gursoy, Sebnem, Torun, Edip, Yurci, Alper, Ozel, Banu Demet, Guven, Kadri, Ozbakir, Omer, Yucesoy, Mehmet
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container_end_page 4112
container_issue 36
container_start_page 4109
container_title World journal of gastroenterology : WJG
container_volume 17
creator Karaman, Ahmet
Baskol, Mevlut
Gursoy, Sebnem
Torun, Edip
Yurci, Alper
Ozel, Banu Demet
Guven, Kadri
Ozbakir, Omer
Yucesoy, Mehmet
description AIM:To compare the effectiveness of argon plasma coagulation (APC) and heater probe coagulation (HPC) in non-variceal upper gastrointestinal bleeding.METHODS:Eighty-five (18 female,67 male) patients admitted for acute gastrointestinal bleeding due to gastric or duodenal ulcer were included in the study.Upper endoscopy was performed and HPC or APC were chosen randomly to stop the bleeding.Initial hemostasis and rebleeding rates were primary and secondary end-points of the study.RESULTS:Initial hemostasis was achieved in 97.7% (42/43) and 81% (36/42) of the APC and HPC groups,respectively (P 0.05).Rebleeding rates were 2.4% (1/42) and 8.3% (3/36) in the APC and HPC groups,respectively,at 4 wk (P 0.05).CONCLUSION:APC is an effective hemostatic method in bleeding peptic ulcers.Larger multicenter trials are necessary to confirm these results.
doi_str_mv 10.3748/wjg.v17.i36.4109
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source MEDLINE; Baishideng "World Journal of" online journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection
subjects APC
Argon Plasma Coagulation
Brief
Duodenal Ulcer - complications
Epinephrine - therapeutic use
Female
Hemostasis, Endoscopic - methods
Humans
Male
Middle Aged
Peptic Ulcer Hemorrhage - therapy
Stomach Ulcer - complications
Vasoconstrictor Agents - therapeutic use
上消化道出血
凝固性
加热器
探头
氩离子
溃疡出血
肾上腺素
title Epinephrine plus argon plasma or heater probe coagulation in ulcer bleeding
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