Abstract
Endoscopic electrocoagulation was performed in combination with a large-dose adminis-tration of antiulcer-agents and/or hemostatics through a stomach tube in fifteen cases of bleeding gastritis, twenty-one cases of bleeding gastric ulcer, nine cases of duodenal ulcer, three cases of gastric cancer and four cases of Mallory-Weiss syndrome. Results were successful in all cases. Aspects of bleeding gastric ulcer experienced were divided into six types from the find-ings at urgent endoscopic examinations. Those are; type I; an ulcer with projectile bleeding, type II ; an ulcer with oozy bleeding. type III; an ulcer with a marked erosion in the vicinity, type IV; an ulcer with an exposed blood vessel at the bottom, type V; an ulcer coated with coagulated blood. type VI; an ulcer covered with a yellow fur.Endoscopic electro-coagulation is principally indicated for the types I and II, for the other types may be treated successfully with a large dose of antiulcer-agents and/or hemostatics via a stomach tube. Indications for surgery should be determined not only by its present state of hemorrhage, but also by a history and location of the ulcer, for an ulcer in the upper part of gastricbody may, in our experiences, be cured by conservative treatments including endos-copic coagulation, even when the ulcer shows a projectile hemorrhage.
