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Aggressive endoscopic hemostasis for severe gastrointestinal bleeding in critically ill patients to decrease

Manabu Nemoto¹, Shoichi Ohta, Hideaki Goto

¹Department of Trauma and Emergency Acute Medicine, Saitama Medical School, 38 Moro Hongo Moroyama Iruma-Gun, Saitama 350-0495, Japan. mnemoto@saitama-med.ac.jp

Hepato-Gastroenterology

|June 27, 2006

Summary

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Endoscopic hemoclipping effectively achieved hemostasis in critically ill patients with severe gastrointestinal (GI) bleeding. This method demonstrated a 100% permanent hemostasis rate, proving useful in intensive care unit settings.

Area of Science:

Critical Care Medicine
Gastroenterology
Endoscopic Procedures

Background:

Critically ill patients often experience difficult-to-manage gastrointestinal (GI) bleeding.
High rebleeding rates are a concern with traditional endoscopic hemostasis in this population.

Purpose of the Study:

To evaluate the efficacy of endoscopic hemoclipping for severe GI bleeding in critically ill patients.

Main Methods:

A prospective study involving 11 critically ill patients with severe GI bleeding.
Treatment followed a defined endoscopic hemoclipping protocol.

Main Results:

Initial hemostasis was achieved in all 11 patients.
A 100% permanent hemostasis rate was observed after additional endoscopic treatment for the single rebleeding case.

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No complications related to endoscopic hemostasis occurred.

Conclusions:

Endoscopic hemostasis, specifically hemoclipping, is a valuable tool for managing severe GI bleeding in critically ill patients.
The technique is safe and effective within the intensive care unit environment.