Gastric Necrosis: A Complication of Endoscopic Sclerosis for Bleeding Peptic Ulcer

Chester, J. F.; Hurley, Paul R.

doi:10.1055/s-2007-1012873

Cited by 43 publications

(8 citation statements)

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“…[42][43][44] Aspiration occurred in two of our patients during endoscopy and they received prophylactic antibiotic treatment for 5 days. In one case there was leucocytosis and abdominal pain after injection therapy and free air was detected below the diaphragm in abdominal x-ray.…”

Section: Discussionmentioning

confidence: 95%

Can Endoscopic Injection of Epinephrine Prevent Surgery in Gastroduodenal Ulcer Bleeding? An Analysis of 107 Cases

Ertekın

Yanar²,

Taviloğlu³

et al. 2004

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionmentioning

confidence: 95%

Can Endoscopic Injection of Epinephrine Prevent Surgery in Gastroduodenal Ulcer Bleeding? An Analysis of 107 Cases

Ertekın

Yanar²,

Taviloğlu³

et al. 2004

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…However, diluted epinephrine does not cause vascular thrombosis. Injection of sclerosing agents in combination with epinephrine has also been described, but extreme caution should be exercised when injecting sclerosing agents due to the risk of inflammatory or necrotic effects (Chester and Hurley, 1990). The effect of endoscopic haemostasis with epinephrine and/or alcohol injection therapy was illustrated effective and safe in a study of 1304 patients with 10 percent bleeding (Kim et al, 1999).…”

Section: Injection Therapiesmentioning

confidence: 99%

ERCP-Related Bleeding

Yıldırım¹

2021

J Exp Clin Med

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Clinically significant bleeding is an uncommon complication of diagnostic endoscopic retrograde cholangiopancreatography. But the endoscopists needs to be skilled at prevention and management. Post ERCP bleeding is most often seen following sphincterotomy. The overall risk of bleeding in patients undergoing sphincterotomy is approximately 1-2 percent. Most bleeding episodes are mild to moderate in severity. The risk of bleeding can be minimized by identifying patients at risk, correcting coagulation abnormalities and careful technique by skilled endoscopists in high-volume centers. Post-sphincterotomy bleeding often stops spontaneously and is rarely life-threatening, except in patients with a bleeding diathesis. Most clinically relevant bleedings can be managed with medical treatment and/or endoscopic therapy, which should be performed without delay in patients who have immediate bleeding. Endoscopic therapy options include epinephrine injection, hemostatic clips, thermal therapy and placement of full covered self-expandable metal stents. Angiography or surgery is usually reserved for patients with refractory bleeding and is rarely required.

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“…Описаны единичные случаи осложнения инъекционного метода гемостаза в виде некроза и перфорации стенки желудка и двенадцатиперстной кишки (ДПК). Все осложнения были связаны с введением склерозантов [45][46][47][48].…”

Section: эндоскопический гемостазunclassified

Modern management of acute non-variceal upper gastrointestinal bleeding

Darvin

Ilkanich

Ryzhikov

et al. 2021

Sibirskij nauchnyj medicinskij zhurnal

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Acute, non-varicose bleeding from the upper gastrointestinal tract remains a common clinical problem. Bleeding episodes are associated with high mortality and a significant economic burden on the health care system. Despite the continuing improvement in endoscopic treatment, recurrent bleeding and associated mortality are still a pressing issue. In addition to the well-established modalities of endoscopic hemostasis: injection, thermal, mechanical, used both as mono therapy and as part of a combination therapy, the review discusses the use of novel types of endoscopic devices. The results of the use of over-the-scope clips, coagrasper, hemostatic sprays, endoscopic angiography, radiofrequency ablation, cryotherapy and endoscopic suturing device are described. The technical aspects of their application, the issues of efficacy and safety, the advantages and limitations of methods for achieving final endoscopic hemostasis are considered. The methods of initial assessment and treatment strategies for recurrent bleeding and unsuccessful endoscopic hemostasis were also analyzed. Material and methods. Literature search was carried out using the following electronic information resources: CyberLeninka, PubMed, Nature Pathology, MEDLINE, PLoS ONE. Results. Сombined endoscopic hemostasis is a standard therapy in the treatment of gastrointestinal tract cerebral infections with an efficiency of 95-98 %, new modalities of endoscopic hemostasis are able, in some cases, to achieve final endoscopic hemostasis both in primary endoscopic treatment and in recurrent bleeding.

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Gastric Necrosis: A Complication of Endoscopic Sclerosis for Bleeding Peptic Ulcer

Cited by 43 publications

References 0 publications

Can Endoscopic Injection of Epinephrine Prevent Surgery in Gastroduodenal Ulcer Bleeding? An Analysis of 107 Cases

Can Endoscopic Injection of Epinephrine Prevent Surgery in Gastroduodenal Ulcer Bleeding? An Analysis of 107 Cases

ERCP-Related Bleeding

Modern management of acute non-variceal upper gastrointestinal bleeding

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