Effectiveness of Endoclips for the Treatment of Stigmata of Recent Hemorrhage in the Colon of Patients with Acute Lower Gastrointestinal Tract Bleeding
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Atul Kumar Everson Artifon Adrienne Chu Bhawna Halwan
- چاپ و سال / کشور: 2011
Description
Aims and Methods Coaptive thermo coagulation (CTC) for the treatment of stigmata of recent hemorrhage (SRH) in the colon is risky. We evaluated the safety and effectiveness of endoclips in 13 patients with acute lower gastrointestinal bleeding (GIB). Thirty-day re-bleeding and complication rates were comparable to a historical cohort of 41 patients (group 2) who underwent CTC/IE (injection epinephrine) for the management of acute lower GIB. Results There was no difference in the 30-day re-bleeding rates in the two groups. In group I, immediate hemostasis was successful in all patients. Three of 13 patients (23.1%) developed re-bleeding. In group II, 41 patients from six prior studies underwent CTC and/or IE for the treatment of HRS where 12 (29.3%) developed rebleeding. There were no immediate complications. Conclusions Endoclip deployment is as effective as CTC and/or IE for treatment of SRH in the colon.
Dig Dis Sci DOI 10.1007/s10620-011-1683-1 Received: 16 April 2009 / Accepted: 14 March 2011
