Evaluation of endoscopic hemostasis usingan improved clipping apparatus

Hachisu, Tadashi

doi:10.1007/bf00591392

Cited by 117 publications

(40 citation statements)

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“…EHP is acceptable for treating bleeding lesions in nonfibrotic tissues and has advantages over other hemostatic methods because it rarely causes perforation [25] . It is effective in the management of bleeding from a Mallory-Weiss tear [18,19,26] .…”

Section: Peer Reviewmentioning

confidence: 99%

Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Cho¹,

Chae²,

Kim³

et al. 2008

WJG

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Section: Peer Reviewmentioning

confidence: 99%

Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Cho¹,

Chae²,

Kim³

et al. 2008

WJG

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“…Dieulafoy lezyonunda hemoklips uygulamasının başarısı değişik çalışmalarda gösterilmiş olmakla birlikte, gastrik DL'de başarılı hemoklips uygulamasını ilk kez 1988 yılında Hachisu [18] rapor etmiştir. Chung ve arkadaşları, [19] DL nedeniyle takip ettikleri 24 hastayı aldıkları tedaviye göre randomize etmiş, hastalara serum fizyolojik-epinefrin karışımı ya da endoskopik bant ligasyonu (EBL) veya hemoklips uygulamışlar-dır.…”

Section: Discussionunclassified

Evaluation of treatment results of patients with acute gastrointestinal bleeding due to dieulafoy's lesion admitted to emergency department

Beyazıt¹,

Dışıbeyaz²,

Suvak³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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AMAÇDieulafoy lezyonu (DL) normal mukoza ile çevrili mukozal bir yırtık alanından geniş, pulsatil bir arteryel damarın dışa-rıya açılımı sonucu gelişen nadir bir gastrointestinal sistem (GİS) kanaması nedenidir. Bu çalışmada, merkezimizdeki DL deneyimlerimizi, hastaların klinik özelliklerini, endoskopik tedavi yöntemleri ve sonuçlarımızı değerlendirdik. GEREÇ VE YÖNTEMTürkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi gastrointestinal endoskopi ünitesinde GİS kanaması nedeniyle 2007 ve 2011 yılları arasında DL tanısı almış hastalar geriye dönük olarak değerlendirildi. Detaylı klinik ve endoskopik veri toplanıp özetlendi. BULGULARHastaların 27 tanesinde DL'ye bağlı gelişen kanama saptandı. Hastaların yaşları 24 ile 85 yıl arasındaydı (medyan 70 yıl). Onbeş hasta erkek, 12 hasta kadındı. Mide yerleşimli DL'nin en sıklıkla saptandığı lokalizasyon fundusdu (%59,2). Bunu korpus (%29,6) ve antrum (%11,2) izlemekte idi. Başlangıç endoskopik tedavi yaklaşımı olarak en sık uygulanan yöntem tek başına hemoklips uygulaması (%40,0) veya hemoklips+adrenalin enjeksiyonu (%33,3) şeklinde idi. SONUÇÇalışmamız DL'nin orta-ileri yaşlı ve erkek hasta popülas-yonunda sık olduğunu gösterdi. Ek olarak endoskopik tedavi modalitelerinin güvenli, başarılı ve etkin maliyet oranına sahip olduğu gözlendi.

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“…In our group, six cases with active bleeding were given hemoclip application and all had excellent outcomes. Compared with other endoscopic treatments, such as sclerotherapy, epinephrine injection, and heater probe, the hemoclip is a safer choice, without adverse effects [12] . Dieulafoy's lesion, an important cause of potentially life-threatening GI bleeding, was first described in 1896 and is a submucosal artery protruding from a minute defective mucosa surrounded by normal tissue [13,14] .…”

Section: Discussionmentioning

confidence: 99%

Application of endoscopic hemoclips for nonvariceal bleeding in the upper gastrointestinal tract

Guo¹,

Gong²,

Leng³

et al. 2009

WJG

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AIM:To investigate acute nonvariceal bleeding in the upper gastrointestinal (GI) tract and evaluate the effects of endoscopic hemoclipping. METHODS:Sixty-eight cases of acute nonvariceal bleeding in the upper GI tract were given endoscopic treatment with hemoclip application. Clinical data, endoscopic findings, and the effects of the therapy were evaluated. RESULTS:The 68 cases (male:female = 42:26, age from 9 to 70 years, average 54.4) presented with hematemesis in 26 cases (38.2%), melena in nine cases (13.3%), and both in 33 cases (48.5%). The causes of the bleeding included gastric ulcer (29 cases), duodenal ulcer (11 cases), Dieulafoy's lesion (11 cases), Mallory-Weiss syndrome (six cases), postoperative (three cases), post-polypectomy bleeding (five cases), and post-sphincterotomy bleeding (three cases); 42 cases had active bleeding. The mean number of hemoclips applied was four. Permanent hemostasis was obtained by hemoclip application in 59 cases; 6 cases required emergent surgery (three cases had peptic ulcers, one had Dieulafoy's lesion, and two were caused by sphincterotomy); three patients died (two had Dieulafoy's lesion and one was caused by sphincterotomy); and one had recurrent bleeding with Dieulafoy's lesion 10 mo later, but in a different location. CONCLUSION:Endoscopic hemoclip application was an effective and safe method for acute nonvariceal bleeding in the upper GI tract with satisfactory outcomes.

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Evaluation of endoscopic hemostasis usingan improved clipping apparatus

Cited by 117 publications

References 1 publication

Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Evaluation of treatment results of patients with acute gastrointestinal bleeding due to dieulafoy's lesion admitted to emergency department

Application of endoscopic hemoclips for nonvariceal bleeding in the upper gastrointestinal tract

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