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Endoscopic flushing electrocoagulation for upper gastrointestinal bleeding--an alternative to surgery.
1Department of Surgery, University of Tampere, Finland.
Annales Chirurgiae Et Gynaecologiae
|January 1, 1987
Summary
Endoscopic electrocoagulation effectively treated upper gastrointestinal bleeding in 82% of patients. This minimally invasive method offers a viable alternative to surgery, particularly for gastric ulcers, though gastrojejunal ulcers showed lower success rates.
Area of Science:
- Gastroenterology
- Endoscopic interventions
- Surgical alternatives
Background:
- Upper gastrointestinal bleeding poses significant risks.
- Emergency surgery is a common treatment but carries high morbidity.
- Minimally invasive endoscopic techniques are sought as alternatives.
Purpose of the Study:
- To evaluate the efficacy of endoscopic monopolar flushing liquid electrocoagulation.
- To assess its success rate in managing upper gastrointestinal bleeding.
- To compare its outcomes with surgical intervention.
Main Methods:
- Twenty-three patients with upper gastrointestinal bleeding underwent electrocoagulation.
- A Storz monopolar flushing electrode was utilized.
- Patient outcomes were monitored for successful management and need for surgery.
Main Results:
- Nineteen out of twenty-three patients (82%) were successfully managed endoscopically.
- Two of twelve gastric ulcer cases and both gastrojejunal ulcer cases required surgery.
- The overall mortality rate was 9%.
Conclusions:
- Endoscopic monopolar flushing liquid electrocoagulation is an effective treatment for upper gastrointestinal bleeding.
- It presents a favorable alternative to surgery, especially for gastric ulcers.
- Efficacy may be limited in cases of gastrojejunal ulceration.