Peptic ulcer disease endoscopy: Difference between revisions
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*Injection therapy: Injection of diluted epinephrine (1:10,000) is commonly used. | *Injection therapy: Injection of diluted epinephrine (1:10,000) is commonly used. | ||
*Thermal coagulation: | *Thermal coagulation: | ||
**Contact -heater probe, monopolar and bipolar electrocoagulation | |||
**Noncontact types -laser treatment, argon plasma coagulation [APC] | |||
*Patients with active spurting or oozing bleeding or a non-bleeding visible vessel | *Patients with active spurting or oozing bleeding or a non-bleeding visible vessel | ||
Revision as of 19:43, 6 November 2017
Endoscopic therapy
Endoscopic therapy can be done by following methods:[1]
- Injection therapy: Injection of diluted epinephrine (1:10,000) is commonly used.
- Thermal coagulation:
- Contact -heater probe, monopolar and bipolar electrocoagulation
- Noncontact types -laser treatment, argon plasma coagulation [APC]
- Patients with active spurting or oozing bleeding or a non-bleeding visible vessel
| Active bleeding or non bleeding visible vessel | |||||||||||||||||||
| Endoscopic therapy | |||||||||||||||||||
| IV PPI bolus +infections | |||||||||||||||||||
- Patients with an adherent clot resistant to vigorous irrigation.
| Adherent clot | |||||||||||||||||||
| Endoscopic therapy | |||||||||||||||||||
| IV PPI bolus +infections | |||||||||||||||||||
Endoscopic therapy can be divided into injection therapy, thermal coagulation, and mechanical hemostasis.