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Endoscopic ethanol injection for treatment of bleeding peptic ulcer
Insights
Endoscopic ethanol injection effectively stopped bleeding in three children with peptic ulcers. This safe and inexpensive procedure showed no complications or rebleeding, suggesting it as a potential treatment of choice.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Therapeutics
Background:
- Peptic ulcers can cause severe bleeding in children.
- Effective hemostasis is crucial for managing pediatric gastrointestinal bleeding.
Observation:
- Three children (aged 10, 11, 13) with actively bleeding ulcers were treated.
- Pure ethanol was injected endoscopically around bleeding vessels.
Findings:
- Hemostasis was confirmed by endoscopy the following day.
- No rebleeding or procedure-related complications were observed.
- Ethanol injection therapy was technically simple and inexpensive.
Implications:
- Endoscopic ethanol injection appears to be a safe and effective treatment for bleeding peptic ulcers in children.
- This minimally invasive approach may be a preferred option for pediatric patients.
- Further studies are warranted to confirm these findings in a larger cohort.
Abstract:
We treated three children aged 10, 11 and 13 years with actively bleeding ulcers using local endoscopic injection of pure ethanol. Ethanol was injected into several sites around a visible vessel with or without bleeding. Haemostasis following ethanol injection therapy was confirmed by endoscopy performed the day after treatment. No rebleeding was observed. There were no complications related to the procedure. Injection therapy is technically simple and inexpensive. Conclusion Our results suggest that endoscopic ethanol injection is safe and may be the treatment of choice for control of bleeding from peptic ulcers in children.