New endoscopic hemostasis methods
Publication in refereed journal

香港中文大學研究人員
替代計量分析
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其它資訊
摘要Endoscopic treatment for non-variceal upper gastrointestinal bleeding has evolved over decades. Injection with diluted epinephrine is considered as a less than adequate treatment, and the current standard therapy should include second modality if epinephrine injection is used initially. Definitive hemostasis rate following mono-therapy with either thermo-coagulation or hemo-clipping compares favorably with dual therapies. The use of adsorptive powder (Hemo-spray) is a promising treatment although it needs comparative studies between hemospray and other modalities. Stronger hemo-clips with better torque control and wider span are now available. Over-the-scope clips capture a large amount of tissue and may prove useful in refractory bleeding. Experimental treatments include an endoscopic stitch device to over-sew the bleeding lesion and targeted therapy to the sub-serosal bleeding artery as guided by echo-endoscopy. Angiographic embolization of bleeding artery should be considered in chronic ulcers that fail endoscopic treatment especially in elderly patients with a major bleed manifested in hypotension. © 2012 Korean Society of Gastrointestinal Endoscopy.
著者Leung Ki E.-L., Lau J.Y.W.
期刊名稱Clinical Endoscopy
出版年份2012
月份12
日期1
卷號45
期次3
出版社Korean Society of Gastrointestinal Endoscopy
出版地South Korea
頁次224 - 229
國際標準期刊號2234-2400
電子國際標準期刊號2234-2443
語言英式英語
關鍵詞Endoscopic haemostasis, Upper gastrointestinal bleeding

上次更新時間 2021-20-06 於 00:03