Endoscopic High Power Neodymium-YAG Laser Irradiation for Control of Acute Gastrointestinal Haemorrhage

Kiefhaber, P.; Moritz, K.; Nath, Gopal; Gorisch, W.

doi:10.1007/978-1-4684-8550-9_25

Cited by 2 publications

(1 citation statement)

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“…The principle of mechanical pressure plus coagulation to stop bleeding sites was realized by us 1974 with the infrared coagulator in treating haemorrhoids and, later on, with the sapphire coagulator which can be used in surgery of the spleen and the liver, in gynaecology. urology, and E N T (3,(12)(13)(14).…”

Section: Techniques a N D Methodsmentioning

confidence: 99%

Indications for Endoscopic Neodymium-YAG Laser Treatment in the Gastrointestinal Tract Twelve Years' Experience

Kiefhaber

1987

Scandinavian Journal of Gastroenterology

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Kiefhaber P. Indications for endoscopic neodymium-YAG laser treatment in the gastrointestinal tract. Twelve years' experience. Scand J Gastroenterol 1987,22(suppl Application of clinical endoscopic Nd: YAG laser (A = 1.06 pm) therapy has been introduced in 1975. It is suitable to stop all kinds of gastrointestinal bleeding with a primary success rate of 94% (1 144/1212). Compared to surgical results a reduction in mortality rate has been achieved. These results have been confirmed worldwide in routine clinical application and in controlled trials with selected patients. Potential bleeding lesions such as Osler haeinangiomas and angiodyspl Recanalization of inoperable obstructed oesophageal and gastric carcinoma by laser vaporization to relieve dysphagia and subsequently endoscopic iridium after loading irradiation show a medium survival time of 7.4 months. Preoperative recanalization of obstructed colorectal carcinoma to relieve ileus or subileus allows preoperative peroral bowel lavage and total colonoscopy to find synchronous cancers and polyps and to perform primary resections without intraoperative colon lavage. Sessile benign neoplastic polyps can be resected curatively by Nd: YAG laser vaporization. Recanalization of peptic stenosis and anastomotic scar stenosis can be performed.

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Section: Techniques a N D Methodsmentioning

confidence: 99%