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Related Experiment Videos

Endoscopic bipolar electrocoagulation in upper gastrointestinal bleeding.

M Ishii1, S Yamada, M Shiomi

  • 1Second Department of Internal Medicine, Kinki University School of Medicine, Osakasayama, Japan.

Gastroenterologia Japonica
|July 1, 1991
PubMed
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Bipolar electrocoagulation (BPEC) effectively managed massive upper gastrointestinal bleeding in 97.6% of cases. This endoscopic treatment safely controlled bleeding with a low rebleeding rate, showing its value in critical situations.

Area of Science:

  • Gastroenterology
  • Endoscopy
  • Medical Devices

Background:

  • Upper gastrointestinal bleeding (UGIB) poses significant clinical challenges, especially massive hemorrhage.
  • Effective endoscopic hemostasis is crucial for managing UGIB and improving patient outcomes.
  • Bipolar electrocoagulation (BPEC) is an endoscopic technique for achieving hemostasis.

Purpose of the Study:

  • To evaluate the efficacy and safety of bipolar electrocoagulation (BPEC) in managing massive upper gastrointestinal bleeding.
  • To determine the initial hemostasis rate and rebleeding rate associated with BPEC treatment for UGIB.

Main Methods:

  • Retrospective review of 213 cases of upper gastrointestinal bleeding treated with BPEC.
  • Analysis of initial hemostasis success, rebleeding rates, and patient factors influencing outcomes.

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  • Assessment of procedure-related complications.

    • Main Results:

    • Initial hemostasis was achieved in 97.6% of the 213 cases treated with BPEC.
    • The overall rebleeding rate was 17.1%, predominantly in patients with acute mucosal lesions and serious comorbidities.
    • No complications directly related to the BPEC procedure were reported.

    Conclusions:

    • Endoscopic BPEC is a safe and effective method for achieving hemostasis in massive upper gastrointestinal bleeding.
    • BPEC successfully controlled bleeding from oozing to spurting, significantly contributing to UGIB management.
    • The technique demonstrates a favorable safety profile with minimal procedural complications.