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[Endoscopic bipolar circumactive electrocoagulation in acute upper gastrointestinal bleeding].

Z G Chen, J Wu, K S Xu

    Zhonghua Nei Ke Za Zhi
    |September 1, 1989
    PubMed
    Summary

    The bipolar circum-active probe (BICAP) effectively controls acute upper gastrointestinal bleeding, achieving 93% immediate hemostasis in 57 patients with minimal rebleeding and no complications.

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    Area of Science:

    • Gastroenterology
    • Endoscopic interventions
    • Hemostasis techniques

    Context:

    • Acute upper gastrointestinal bleeding presents a significant clinical challenge.
    • Endoscopic interventions are crucial for managing emergent bleeding events.
    • The bipolar circum-active probe (BICAP) is a novel electrocoagulation device for endoscopic use.

    Purpose:

    • To assess the efficacy and safety of the bipolar circum-active probe (BICAP) in controlling acute upper gastrointestinal bleeding.
    • To evaluate the hemostatic success rate and complication profile of BICAP therapy.

    Summary:

    • Fifty-seven patients with acute upper gastrointestinal bleeding were treated using the endoscopic BICAP.
    • Immediate hemostasis was achieved in 53 out of 57 patients (93%).

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  • Rebleeding occurred in 4 of 53 patients (7.5%), with no procedure-related complications.

    • Impact:

    • The BICAP probe demonstrates high efficacy in achieving immediate hemostasis for acute upper gastrointestinal bleeding.
    • This endoscopic technique offers a safe and effective option for managing gastrointestinal hemorrhage.
    • BICAP represents an important advancement in the endoscopic treatment of upper GI bleeding.