J.Jpn. Surg. Soc.. 90(9): 1545-1547, 1989
Report on the annual meeting
EVALUATION OF ENDOSCOPIC LOCAL INJECTION OF HYPERTONIC SALINE EPINEPHRINE SOLUTION AND SURGICAL TREATMENT ON HEMORRHAGIC GASTRODUODENAL ULCER
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Department of Surgery, Kin-Ikyo Chuo Hospital, Sapporo, Japan Yoshihiro Ikeda, Ryohei Takakuwa, Hiromi Hatakeyama, Hideaki Kawashima, Tamotsu Sugihara, Yoshio Hosokawa, Masanori Hirao |
During the period between October 1978 and March 1988, a total 246 patients with peptic ulcers underwent treatment for hemostasis by this method. According to our criteria for the assessment of the hemostatic effect, 231 (93.9％) of 246 cases achieved permanent hemostasis, 7 (2.8％) achieved temporary hemostasis, and no effect was noted 8 cases (3.3％) .
From June 1975 to March 1988, a total 366 cases with gastric and duodenal ulcers were operated on at our hospital. By applying endoscopic local injection of HSE, the rate of emergency operatin for patients with bleeding peptic ulcers was significantly reduced from 13.4％ (22/164) to 1.5％ (3/202) .
From these results, we consider that endoscopic local injectin of HSE is valuable for hemorrhage from gastric and duodenal ulcer.
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