A Randomized Trial of Monopolar Soft-mode Coagulation Versus Heater Probe Thermocoagulation for Peptic Ulcer Bleeding

Abstract

For patients with gastroduodenal ulcer bleeding, soft coagulation using monopolar hemostatic forceps is more effective than heater probe thermocoagulation for achieving hemostasis.

Injection and Cautery Methods for Nonvariceal Bleeding Control

“…25,42 When compared with monopolar soft-coagulation forceps, the hydrothermal probe was less efficacious in primary hemostasis (96% vs 67%) as well as in rebleeding rate, with one perforation occurring in the heater probe group. 44 Injection and Cautery Methods for Bleeding Control …”

Postoperative bleeding after subtotal colectomy in two patients with severe ulcerative colitis

“…13 There have been several randomized controlled trials (RCTs) showing the usefulness of soft coagulation in the upper GI tract. [13][14][15] However, to our knowledge, there have been no studies on the benefits of soft coagulation for acute lower GI bleeding after subtotal colectomy. However, Fahrtash-Bahin et al reported that soft coagulation was an efficient technique for achieving hemostasis of intraprocedural bleeding during the endoscopic resection of large colonic lesions.…”

Comment optimiser la prise en charge endoscopique des hémorragies digestives hautes ?

“…La coagulation monopolaire, dont l'utilisation est dérivée de la dissection sousmuqueuse, a récemment montré son intérêt dans plusieurs études. Elle serait même plus efficace que la coagulation bipolaire dans les hémorragies ulcéreuses et à l'origine de moins d'effets indésirables [14].…”