Abstract
The characteristics of endoscopic findings and age were statistically evaluated in 128 patients with bleeding gastric ulcers who had been treated over thepast 5 years. The ulcers were treated by localinjection of (1) pure ethanol, (2) hypertonic saline epinephrine solution (HSE), (3) a combination of pure ethanol and HSE, and (4) clipping with or without HSE. Permanent hemostasis was obtained in 114 of 128 patients (89.1%). Endoscopic hemostasis succeeded after rebleeding in 5 (3.9%), transarterial embolization (TAE) was needed in 3 (2.3%) and surgery was performed in 6 patients (4.7%). The 7 factors studied were: ulcer location (L-factor), ulcer size (S-factor), ulcer depth (D-factor), location of exposed vessel on the ulcer bottom (L/V-factor), protrusion of the exposed vessel (P-factor), active bleeding (A-factor) and age. Two of these factors (P-factor and A-factor) were found to be statistically correlated with the prognosis( P-factor:r=0.29602, p=0.0010, A-factor:r=0.29797, p=0.006). In conclusion, the major two factors indicating a high risk of unsuccessful endoscopic hemostasis were P-factor and A-factor.
