Helicobacter pyloriInfection Does not Affect the Early Rebleeding Rate in Patients with Peptic Ulcer Bleeding after Successful Endoscopic Hemostasis: A Prospective Single-Center Trial

Endoscopy ◽  
2003 ◽  
Vol 35 (5) ◽  
pp. 393-396 ◽  
Author(s):  
D. Schilling ◽  
A. Demel ◽  
T. Nüsse ◽  
E. Weidmann ◽  
J. F. Riemann
Keyword(s):  
Peptic Ulcer ◽  
Endoscopic Hemostasis ◽  
Ulcer Bleeding ◽  
Single Center ◽  
Peptic Ulcer Bleeding ◽  
Rebleeding Rate

STUDY THE EFFICACY OF HEMOCLIP IN ENDOSCOPIC HEMOSTASIS COMBINED WITH HIGH-DOSE INFUSION OF PROTON-PUMP INHIBITOR IN PATIENTS WITH PEPTIC ULCER BLEEDING

2014 ◽  
pp. 30-33
Author(s):  
Hieu Tam Huynh ◽  
Trong Thang Hoang
Keyword(s):  
Peptic Ulcer ◽  
Cross Sectional Study ◽  
Endoscopic Hemostasis ◽  
Ulcer Bleeding ◽  
High Dose ◽  
Peptic Ulcer Bleeding ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Type Ia ◽  
Rebleeding Rate

Background: Peptic ulcer bleeding is one of the common emergency cases in gastroenterology, the mortality rate is high. The study of the effecacy of hemoclip in endoscopic hemostasis therapy that helps to give an effective method for treatment peptic ulcer bleeding, to save cost for patients, to avoid a surgery that is serious for these patients. Objective:(i) To determine the prevalence of peptic ulcer bleeding with high risk of rebleeding (FIA, FIB and FIIA) according to Forrest classification; (ii) To determine effecacy of hemoclip in endoscopic hemostasis in patients with peptic ulcer bleeding. Patients and methods:A cross sectional study on 22 patients with peptic ulcer bleeding in Can Tho Center General Hospital during May 2012 to October 2013. Results:The rate of active bleeding group (Forrest type IA and IB) and visible vessel group (Forrest type FIIA) were 50% and 50%. Hemostatic rate by clipping was 95.5%, and the rebleeding rate was only 9.1%; the rate of emergent surgery and mortality were 4.5% and 4.5%. Conclusion:Endoscopic hemoclip treatment for bleeding due to peptic ulcer is an effective and safe method. The percentage of success was high 95.5%. The rebleeding rate was low, only 9.1%. The number of patients haved been operated and the dead rate were low, only 4.5%. Key words: Peptic ulcer bleeding, hemoclip, endoscopic hemostasis therapy

EFFICACY OF INITIAL AND PERMANENT HEMOSTASIS OF THE ENDOSCOPIC HEMOCLIP METHOD COMBINED WITH HIGH-DOSE INFUSION OF PROTON PUMP INHIBITOR IN PATIENTS WITH PEPTIC ULER BLEEDING

2018 ◽  
pp. 15-21
Author(s):  
Hieu Tam Huynh ◽  
Dang Quy Dung Ho
Keyword(s):  
Peptic Ulcer ◽  
Success Rate ◽  
Endoscopic Hemostasis ◽  
Ulcer Bleeding ◽  
Injection Sclerotherapy ◽  
High Dose ◽  
Peptic Ulcers ◽  
Peptic Ulcer Bleeding ◽  
Bleeding Peptic Ulcers ◽  
Hemostatic Therapy

Background: Peptic ulcer bleeding is one of the common medical emergencies. The hemostatic efficacy of endoscopic therapeutic modalities has been reported in many studies and frequently has been found to exceed 90%. Four groups of modalities are used in the endoscopic management of bleeding peptic ulcers: thermal probe methods, injection sclerotherapy, local spray methods, and mechanical hemostatic therapy. The endoscopic hemoclip method is a safe and effective hemostatic therapy for managing bleeding peptic ulcers. Objective: To determine the success rate of hemoclip in endoscopic hemostasis. Patients and methods: Clinical intervention study on 36 patients with peptic ulcer bleeding admitted in Can Tho Central General Hospital from May 2012 to November 2014. All the patients underwent emergency endoscopy for hemostasis by hemoclip and high-dose PPI use. Results: The success rate of initial hemostasis was 97.2%, and permanent hemostasis was 91.7%. The rates of rebleeding, surgery, mortality were 11.1%, 5.6%, 2.8%, respectively. Conclusion: Endoscopic hemostasis therapy by clipping combined with high- dose PPI is an effective, relatively safe treatment for peptic ulcer bleeding. Key words: Peptic ulcer bleeding, hemoclip, endoscopic hemostasis therapy

Will Helicobacter Pylori Affect Short-Term Rebleeding Rate in Peptic Ulcer Bleeding Patients After Successful Endoscopic Therapy?

1999 ◽  
Vol 94 (11) ◽  
pp. 3184-3188 ◽  
Author(s):  
Hwai-Jeng Lin ◽  
Guan-Ying Tseng ◽  
Yu-Hsi Hsieh ◽  
Chin-Lin Perng ◽  
Fa-Yauh Lee ◽  
...  
Keyword(s):  
Helicobacter Pylori ◽  
Peptic Ulcer ◽  
Endoscopic Therapy ◽  
Ulcer Bleeding ◽  
Peptic Ulcer Bleeding ◽  
Short Term ◽  
Rebleeding Rate

scholarly journals Clinical Outcomes of the Marginal Ulcer Bleeding after Gastrectomy: As Compared to the Peptic Ulcer Bleeding with Nonoperated Stomach

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Woo Chul Chung ◽  
Eun Jung Jeon ◽  
Kang-Moon Lee ◽  
Chang Nyol Paik ◽  
You Suk Oh ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Clinical Outcomes ◽  
Marginal Ulcer ◽  
Ulcer Bleeding ◽  
Consecutive Series ◽  
Peptic Ulcer Bleeding ◽  
Positive Rate ◽  
Rebleeding Rate ◽  
H Pylori ◽  
Upper Gastrointestinal

Background. Marginal ulcer is a well-known complication after gastrectomy. Its bleeding can be severe, but the severity has rarely been reported. We aim to evaluate the clinical outcomes of marginal ulcer bleeding (MUB) as compared to peptic ulcer bleeding (PUB) with nonoperated stomach.Methods. A consecutive series of patients who had nonvariceal upper gastrointestinal bleeding and admitted to the hospital between 2005 and 2011 were retrospectively analyzed. A total of 530 patients were enrolled in this study, and we compared the clinical characteristics between 70 patients with MUB and 460 patients with PUB.Results. Patients with MUB were older (mean age:62.86±10.59years versus53.33±16.68years,P=0.01). The initial hemoglobin was lower (8.16±3.05 g/dL versus9.38±2.49 g/dL,P=0.01), and the duration of admission was longer in MUB (7.14±4.10days versus5.90±2.97days,P=0.03). After initial hemostasis, the rebleeding rate during admission was higher (16.2% versus 6.5%,P=0.01) in MUB. However, the mortality rate did not differ statistically between MUB and PUB groups.Helicobacter pylori-positive rate with MUB was lower than that of PUB (19.4% versus 54.4%,P=0.01).Conclusions. Clinically, MUB after gastrectomy is more severe than PUB with nonoperated stomach. Infection withH. pylorimight not appear to play an important role in MUB after gastrectomy.

Is routine second-look endoscopy effective after endoscopic hemostasis in acute peptic ulcer bleeding? A meta-analysis

2012 ◽  
Vol 76 (2) ◽  
pp. 283-292 ◽  
Author(s):  
Sara El Ouali ◽  
Alan N. Barkun ◽  
Jonathan Wyse ◽  
Joseph Romagnuolo ◽  
Joseph J.Y. Sung ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Meta Analysis ◽  
Endoscopic Hemostasis ◽  
Ulcer Bleeding ◽  
Peptic Ulcer Bleeding ◽  
Second Look
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