Endoscopic treatment for non-variceal upper gastrointestinal bleeding lesions: The 12-year experience of an Endoscopic Unit and review of the literature

D. Pacchione, E. Ricci, R. Sassatelli, R. Conigliaro, G. Bertoni, M. G. Mortilla, G. Bedogni

Research output: Contribution to journalArticle

Abstract

The 12-year experience of our Department of Digestive Endoscopy in the management of bleeding non-variceal lesions of the upper gastrointestinal tract is reported. Two different periods (1989-1985 and 1989-1992) have been considered and results obtained with three different methods have been compared in terms of initial hemostasis, risk of rebleeding, need of surgery and bleeding-related mortality. Only lesions classified as Forrest 1A (82 patients) have been studied, since these are usually considered high-risk lesions. 13 out of 82 patients have been treated using polidocanol alone, 21 using polidocanol plus monopolar electro-coagulation and 48 using polidocanol plus epinephrine. The efficacy of these three different approaches has been retrospectively evaluated; no differences emerged considering initial hemostasis, final hemostasis, emergency surgery, complications and mortality. When the risk of rebleeding and non-emergency surgery have been taken into account the results obtained with the three methods were significantly different. An updated review of the literature is presented. The authors conclude that all methods considered are effective and expertise and confidence with a particular technique are the most important factors.

Original languageEnglish
Pages (from-to)65-70
Number of pages6
JournalGiornale Italiano di Endoscopia Digestiva
Volume17
Issue number2
Publication statusPublished - 1994

Keywords

  • endoscopic hemostasis
  • non-variceal bleeding Forrest Ia lesions
  • upper gastrointestinal tract

ASJC Scopus subject areas

  • Gastroenterology

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