Gastroenterological and Intestinal Systems

Gastroenterological and Intestinal Systems

ISSN 2054-4154
Case report

Clinical outcome of endoscopic hemostasis with heater probe coagulation for bleeding gastric ulcer

Yoshihiro Inoue*, Yasuhisa Fujino, Makoto Onodera, Satoshi Kikuchi, Masayuki Sato, Hisaho Sato, Hironobu Noda, Masahiro Kojika, Yasushi Suzuki and Shigeatsu Endo

*Correspondence: Yoshihiro Inoue yinoue@iwate-med.ac.jp

Author Affiliations

Department of Critical Care Medicine, School of Medicine, Iwate Medical University, Japan.

Abstract

We reviewed 1,152 patients with bleeding gastric ulcer treated at our institution between 1987 and 2011. Of these, 1,026 patients (89.1%) underwent endoscopic hemostasis. Forrest classification for bleeding ulcers in these cases was as follows: Ia, 188 patients (18.3%); Ib, 114 patients (11.1%); and IIa, 665 patients (64.8%). Endoscopic treatment proved successful in 1,023 patients (99.7%), including 70 patients (6.8%) who experienced re-bleeding. There were 19 deaths (1.9%), and 3 patients (0.3%) underwent surgical procedures. No surgical procedures were performed after 1994.

Keywords: Hemorrhagic gastric ulcer, endoscopic hemostasis, upper gastrointestinal hemorrhage, heater probe coagulation

ISSN 2054-4154
Volume 2
Abstract Download