Peptic ulcer disease endoscopy: Difference between revisions
Jump to navigation
Jump to search
| Line 3: | Line 3: | ||
*Injection therapy: Injection of diluted epinephrine (1:10,000) is commonly used<ref name="pmid15605000">{{cite journal |vauthors=Park CH, Lee SJ, Park JH, Park JH, Lee WS, Joo YE, Kim HS, Choi SK, Rew JS, Kim SJ |title=Optimal injection volume of epinephrine for endoscopic prevention of recurrent peptic ulcer bleeding |journal=Gastrointest. Endosc. |volume=60 |issue=6 |pages=875–80 |year=2004 |pmid=15605000 |doi= |url=}}</ref> | *Injection therapy: Injection of diluted epinephrine (1:10,000) is commonly used<ref name="pmid15605000">{{cite journal |vauthors=Park CH, Lee SJ, Park JH, Park JH, Lee WS, Joo YE, Kim HS, Choi SK, Rew JS, Kim SJ |title=Optimal injection volume of epinephrine for endoscopic prevention of recurrent peptic ulcer bleeding |journal=Gastrointest. Endosc. |volume=60 |issue=6 |pages=875–80 |year=2004 |pmid=15605000 |doi= |url=}}</ref> | ||
*Thermal coagulation: | *Thermal coagulation: | ||
**Contact -heater probe, monopolar and bipolar electrocoagulation | **Contact types -heater probe, monopolar and bipolar electrocoagulation | ||
**Noncontact types -laser treatment, argon plasma coagulation [APC]<ref name="pmid10205211">{{cite journal |vauthors=Lin HJ, Tseng GY, Perng CL, Lee FY, Chang FY, Lee SD |title=Comparison of adrenaline injection and bipolar electrocoagulation for the arrest of peptic ulcer bleeding |journal=Gut |volume=44 |issue=5 |pages=715–9 |year=1999 |pmid=10205211 |pmc=1727515 |doi= |url=}}</ref> | **Noncontact types -laser treatment, argon plasma coagulation [APC]<ref name="pmid10205211">{{cite journal |vauthors=Lin HJ, Tseng GY, Perng CL, Lee FY, Chang FY, Lee SD |title=Comparison of adrenaline injection and bipolar electrocoagulation for the arrest of peptic ulcer bleeding |journal=Gut |volume=44 |issue=5 |pages=715–9 |year=1999 |pmid=10205211 |pmc=1727515 |doi= |url=}}</ref> | ||
Revision as of 21:17, 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[2]
- Thermal coagulation:
- Contact types -heater probe, monopolar and bipolar electrocoagulation
- Noncontact types -laser treatment, argon plasma coagulation [APC][3]
- 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.
- ↑ Cook DJ, Guyatt GH, Salena BJ, Laine LA (1992). "Endoscopic therapy for acute nonvariceal upper gastrointestinal hemorrhage: a meta-analysis". Gastroenterology. 102 (1): 139–48. PMID 1530782.
- ↑ Park CH, Lee SJ, Park JH, Park JH, Lee WS, Joo YE, Kim HS, Choi SK, Rew JS, Kim SJ (2004). "Optimal injection volume of epinephrine for endoscopic prevention of recurrent peptic ulcer bleeding". Gastrointest. Endosc. 60 (6): 875–80. PMID 15605000.
- ↑ Lin HJ, Tseng GY, Perng CL, Lee FY, Chang FY, Lee SD (1999). "Comparison of adrenaline injection and bipolar electrocoagulation for the arrest of peptic ulcer bleeding". Gut. 44 (5): 715–9. PMC 1727515. PMID 10205211.