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Endoscopic ligation for non-esophageal variceal upper gastrointestinal hemorrhage.
Endoscopy. 1998 Nov; 30(9):774-7.E

Abstract

BACKGROUND

Endoscopic ligation can be used for bleeding lesions in non-fibrotic tissue; however, only small numbers of patients with non-esophageal variceal upper gastrointestinal hemorrhage have been treated in this way. To evaluate the utility of the technique, we performed the procedure to treat hemorrhage not from esophageal varices during emergency endoscopy.

PATIENTS AND METHODS

Bleeding was identified from gastric Dieulafoy's ulcers (n=4), duodenal ulcers (n=3), gastric angiodysplasia (n=2) and Mallory-Weiss tears (n=3). The bleeding points were aspirated and controlled by endoscopic ligation and complete hemostasis was achieved in all cases.

RESULTS

Although these lesions were located in difficult areas where endoscopic injection therapy and clipping sometimes fail, endoscopic ligation was performed easily and effectively without complications. Six of the patients had severe underlying disease, including acute and chronic myelogenous leukemia, liver cirrhosis and chronic renal failure; none suffered deterioration in their general condition after endoscopic ligation.

CONCLUSIONS

Our findings suggest that endoscopic ligation is an easy and effective method of treatment for patients with gastrointestinal hemorrhage not from esophageal varices, and is safe even in patients with poor general health.

Authors+Show Affiliations

First Dept. of Internal Medicine, Saitama Medical Center, Saitama Medical School, Kawagoe, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Comparative Study
Journal Article

Language

eng

PubMed ID

9932757

Citation

Wong, R M., et al. "Endoscopic Ligation for Non-esophageal Variceal Upper Gastrointestinal Hemorrhage." Endoscopy, vol. 30, no. 9, 1998, pp. 774-7.
Wong RM, Ota S, Katoh A, et al. Endoscopic ligation for non-esophageal variceal upper gastrointestinal hemorrhage. Endoscopy. 1998;30(9):774-7.
Wong, R. M., Ota, S., Katoh, A., Yamauchi, A., Arai, K., Kaneko, K., Yazawa, M., & Matsuzaki, F. (1998). Endoscopic ligation for non-esophageal variceal upper gastrointestinal hemorrhage. Endoscopy, 30(9), 774-7.
Wong RM, et al. Endoscopic Ligation for Non-esophageal Variceal Upper Gastrointestinal Hemorrhage. Endoscopy. 1998;30(9):774-7. PubMed PMID: 9932757.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic ligation for non-esophageal variceal upper gastrointestinal hemorrhage. AU - Wong,R M, AU - Ota,S, AU - Katoh,A, AU - Yamauchi,A, AU - Arai,K, AU - Kaneko,K, AU - Yazawa,M, AU - Matsuzaki,F, PY - 1999/2/5/pubmed PY - 1999/2/5/medline PY - 1999/2/5/entrez SP - 774 EP - 7 JF - Endoscopy JO - Endoscopy VL - 30 IS - 9 N2 - BACKGROUND: Endoscopic ligation can be used for bleeding lesions in non-fibrotic tissue; however, only small numbers of patients with non-esophageal variceal upper gastrointestinal hemorrhage have been treated in this way. To evaluate the utility of the technique, we performed the procedure to treat hemorrhage not from esophageal varices during emergency endoscopy. PATIENTS AND METHODS: Bleeding was identified from gastric Dieulafoy's ulcers (n=4), duodenal ulcers (n=3), gastric angiodysplasia (n=2) and Mallory-Weiss tears (n=3). The bleeding points were aspirated and controlled by endoscopic ligation and complete hemostasis was achieved in all cases. RESULTS: Although these lesions were located in difficult areas where endoscopic injection therapy and clipping sometimes fail, endoscopic ligation was performed easily and effectively without complications. Six of the patients had severe underlying disease, including acute and chronic myelogenous leukemia, liver cirrhosis and chronic renal failure; none suffered deterioration in their general condition after endoscopic ligation. CONCLUSIONS: Our findings suggest that endoscopic ligation is an easy and effective method of treatment for patients with gastrointestinal hemorrhage not from esophageal varices, and is safe even in patients with poor general health. SN - 0013-726X UR - https://www.unboundmedicine.com/medline/citation/9932757/Endoscopic_ligation_for_non_esophageal_variceal_upper_gastrointestinal_hemorrhage_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-1001420 DB - PRIME DP - Unbound Medicine ER -