지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 224 - 229 (6page)
이용수
초록· 키워드
오류제보하기
Endoscopic treatment for non-variceal upper gastrointestinal bleeding has evolved over decades. Injection with diluted epinephrine is considered as a less than adequate treatment, and the current standard therapy should include second modality if epinephrine injection is used initially. Definitive hemostasis rate following mono-therapy with either thermo-coagulation or hemo-clipping compares favorably with dual therapies. The use of adsorptive powder (Hemo-spray) is a promising treatment although it needs comparative studies between hemospray and other modalities. Stronger hemo-clips with better torque control and wider span are now available. Over-the-scope clips capture a large amount of tissue and may prove useful in refractory bleeding. Experimental treatments include an endoscopic stitch device to over-sew the bleeding lesion and targeted therapy to the sub-serosal bleeding artery as guided by echo-endoscopy. Angiographic embolization of bleeding artery should be considered in chronic ulcers that fail endoscopic treatment especially in elderly patients with a major bleed manifested in hypotension.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Berne CJ / 1969 / Peptic ulcer perforation of the gastroduodenal artery complex: clinical features and operative control / Ann Surg 169 : 141 ~ 144
Calvet X / 2004 / Addition of a second endoscopic treatment following epinephrine injection improves outcome in high-risk bleeding ulcers / Gastroenterology 126 : 441 ~ 450
Chiu PW / 2006 / Endoscopic plication of massively bleeding peptic ulcer by using the Eagle Claw VII device: a feasibility study in a porcine model / Gastrointest Endosc 63
Elmunzer BJ / 2008 / Systematic review of the predictors of recurrent hemorrhage after endoscopic hemostatic therapy for bleeding peptic ulcers / Am J Gastroenterol 103 : 26
Elmunzer BJ / 2010 / Initial evaluation of a novel, prototype, forward-viewing echoendoscope in a porcine arterial bleeding model (with video) / Gastrointest Endosc 72 : 611
Calvet X / 2004 / Addition of a second endoscopic treatment following epinephrine injection improves outcome in high-risk bleeding ulcers / Gastroenterology 126 : 441 ~ 450
Chiu PW / 2006 / Endoscopic plication of massively bleeding peptic ulcer by using the Eagle Claw VII device: a feasibility study in a porcine model / Gastrointest Endosc 63
Elmunzer BJ / 2008 / Systematic review of the predictors of recurrent hemorrhage after endoscopic hemostatic therapy for bleeding peptic ulcers / Am J Gastroenterol 103 : 26
Elmunzer BJ / 2010 / Initial evaluation of a novel, prototype, forward-viewing echoendoscope in a porcine arterial bleeding model (with video) / Gastrointest Endosc 72 : 611
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