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[Electrocoagulation in the arrest of gastrointestinal hemorrhage]
Insights
Endoscopic diathermocoagulation effectively stopped acute gastrointestinal bleeding in most patients. However, 25% experienced recurrent bleeding, necessitating urgent surgery for critical cases.
Area of Science:
- Gastroenterology
- Endoscopic interventions
- Hemorrhage control
Context:
- Acute gastrointestinal bleeding is a significant clinical challenge.
- Peptic ulcers are a common cause of upper gastrointestinal hemorrhage.
- Endoscopic hemostasis is a primary treatment modality.
Purpose:
- To evaluate the efficacy of curative endoscopy with diathermocoagulation in managing acute gastrointestinal bleeding.
- To assess the rate of hemorrhage arrest and recurrence after endoscopic intervention.
- To determine the need for surgical intervention in cases of recurrent or critical bleeding.
Summary:
- Diathermocoagulation via curative endoscopy was performed on 100 patients with acute gastrointestinal bleeding, predominantly due to peptic ulcers (64 patients).
- Complete cessation of hemorrhage was achieved in 75 patients.
- Recurrent bleeding occurred in 25 patients, with 19 requiring urgent surgical operations due to critical blood loss.
Impact:
- Endoscopic diathermocoagulation offers a high success rate for acute gastrointestinal bleeding.
- A significant subset of patients may experience recurrent bleeding, highlighting the importance of close monitoring.
- Prompt surgical intervention is crucial for patients with recurrent bleeding and critical blood loss to improve outcomes.
Abstract:
The curative endoscopy with diathermocoagulation was performed in 100 patients with acute gastro-intestinal bleedings. Peptic ulcers were the cause of the bleedings in most patients (64). The complete arrest of hemorrhage was achieved in 75 patients. Recurrent bleedings at different terms were noted in 25 patients. Patients with critical degree of blood loss (in repeated bleedings) must be subjected to urgent operations without loosing time for a repeated attempt to stop the bleeding. Urgent operations were made on 19 patients.