Improving the View in Emergency Endoscopy

Chung, S. C. S.; Leung, J. W. C.

doi:10.1055/s-2007-1018229

Cited by 8 publications

(2 citation statements)

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“…The two groups were comparable in age, sex, site of ulcer, and severity of bleeding. 10 12 No with duodenal ulcer 24 22 No with haemoglobin < 100 g/l 19 23 No in shock 11 11 No with spurting ulcer 9 10…”

Section: Resultsmentioning

confidence: 99%

Endoscopic injection of adrenaline for actively bleeding ulcers: a randomised trial

Chung

Leung²,

Steele³

et al. 1988

BMJ

209

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A prospective randomised trial was performed to assess the efficacy of endoscopic injection of adrenaline for actively bleeding ulcers. Emergency endoscopy in 961 patients admitted for upper gastrointestinal haemorrhage identified 68 patients with actively bleeding ulcers. These 68 patients were randomised to receive either endoscopic injection of adrenaline or no endoscopic treatment. After endoscopy both groups were managed in an identical manner, and strict criteria for emergency operation were adhered to in both groups. Bleeding was initially controlled in all 34 patients assigned to the treatment group. Significantly fewer patients in the treatment group than in the control group needed emergency operations (five v 14, respectively). In addition, in the treatment group the median transfusion requirement was significantly less (three v five units of blood) and the median hospital stay shorter (six v eight days). No complications were observed with the injection of adrenaline, and the rate of healing of ulcers in those attending for endoscopy six weeks after discharge was similar in both groups (81% (17 out of 21 patients) in the treatment group v 79% (11 out of 14) in the control group). Injection of adrenaline is effective in stopping bleeding from actively bleeding ulcers.

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Section: Resultsmentioning

confidence: 99%

Endoscopic injection of adrenaline for actively bleeding ulcers: a randomised trial

Chung

Leung²,

Steele³

et al. 1988

BMJ

209

View full text Add to dashboard Cite

show abstract

“…Gastric lavage was used only if a good view of the bleeding point could not be obtained, in which case an overtube was passed. Blood covering the ulcer was washed away with a “Waterpik.”14 Patients with actively bleeding ulcers (spurting or oozing haemorrhage) identified at the time of endoscopy were recruited into the present study. Patients with non-bleeding visible vessels, adherent blood clots, clean based ulcers, or ulcers with contact bleeding only were excluded.…”

Section: Methodsmentioning

confidence: 99%