Abstract
Three methods of endoscopic hemostasis were performed in 66 cases showing upper gastrointestinal hemorrhage from an ulcer base with exposed vessels. Patients ranged from 19 to 88 in age. The mean age in males and temales was b 3 years and 66 years, respectively. There were 46 cases of gastric ulcer (69.7%), 9 of duodenal ulcer (13.6%), 6 of gastric cancer (9.1%), and 5 of other diseases (post-polypectomy 3, Mallory-weiss syndrome 1, esophageal ulcer in diverticulum 1). Twenty seven cases (41%) had severe primary diseases and 6 cases (9%) died from other causes. The severity of hemorrhage was as follows : projectile or pulsatile, 9 cases (14%) ; oozing, 31 cases (47%) ; hemostasis at emerencv endoscopic examination. 26 cases (39%). The three kinds of endoscopic hemostasis method were as follows : method A (7 cases), local injection of pure ethanol ; Method B (16 cases), combined method of A and direct-coating with sucralf ate ; method C (43 cases), combined method of A and direct-coating with sucralfate-thrombin mixture. Hemostatic rates in methods A, B and C were 86%, 94% and 100%, respectively. Furthermore, a 100% hemostatic rate was obtained in 27 cases with severe primary diseases. The results indicate that our methods using endoscopic hemostasis are valuable for upper gastrointestinal hemorrhage from the ulcer base with exposed vessels.
