Heater probe in massive peptic ulcer hemorrhage and shock

Hwai Jeng Lin; Yang Te Tsai; Shou Dong Lee; Kwok Hung Lai; Fa Yauh Lee; Ching Yi Lin; Chen Hsen Lee

doi:10.1097/00004836-198812000-00009

Heater probe in massive peptic ulcer hemorrhage and shock

Hwai Jeng Lin, Yang Te Tsai, Shou Dong Lee, Kwok Hung Lai, Fa Yauh Lee, Ching Yi Lin, Chen Hsen Lee

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

We treated 35 patients in shock from massive peptic ulcer hemorrhage with the heater probe HP). Twelve of them (34.3%) were poor surgical candidates. Their mean age was 62.3 years. All had massive bleeding, requiring an average of 2,300 ml of blood transfusion. The average lowest mean hemoglobin was 7.94 g/dl. We used the Olympus GIF-1T10 and the HP unit, applying an average of 899 J to each bleeder. In 34 patients (97.1%) hemostasis was achieved after initial treatment. Six patients (17.6%) rebled within 1 week. With HP therapy in those six we achieved hemostasis in five (83.3%). Ultimately, only two cases failed in this study, to give a success rate of 94.3% (33/35). We conclude that HP thermocoagulation may, in the near future, replace operations in many patients with massive peptic ulcer hemorrhage.

Original language	English
Pages (from-to)	623-626
Number of pages	4
Journal	Journal of Clinical Gastroenterology
Volume	10
Issue number	6
DOIs	https://doi.org/10.1097/00004836-198812000-00009
Publication status	Published - Dec 1988
Externally published	Yes

Keywords

Heater probe
Shock
Thermocoagulation
Upper gastrointestinal bleeding

ASJC Scopus subject areas

Gastroenterology

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10.1097/00004836-198812000-00009

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@article{1c2d888762e9475db226035f9dba9f3e,

title = "Heater probe in massive peptic ulcer hemorrhage and shock",

abstract = "We treated 35 patients in shock from massive peptic ulcer hemorrhage with the heater probe HP). Twelve of them (34.3%) were poor surgical candidates. Their mean age was 62.3 years. All had massive bleeding, requiring an average of 2,300 ml of blood transfusion. The average lowest mean hemoglobin was 7.94 g/dl. We used the Olympus GIF-1T10 and the HP unit, applying an average of 899 J to each bleeder. In 34 patients (97.1%) hemostasis was achieved after initial treatment. Six patients (17.6%) rebled within 1 week. With HP therapy in those six we achieved hemostasis in five (83.3%). Ultimately, only two cases failed in this study, to give a success rate of 94.3% (33/35). We conclude that HP thermocoagulation may, in the near future, replace operations in many patients with massive peptic ulcer hemorrhage.",

keywords = "Heater probe, Shock, Thermocoagulation, Upper gastrointestinal bleeding",

author = "Lin, {Hwai Jeng} and Tsai, {Yang Te} and Lee, {Shou Dong} and Lai, {Kwok Hung} and Lee, {Fa Yauh} and Lin, {Ching Yi} and Lee, {Chen Hsen}",

year = "1988",

month = dec,

doi = "10.1097/00004836-198812000-00009",

language = "English",

volume = "10",

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journal = "Journal of Clinical Gastroenterology",

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T1 - Heater probe in massive peptic ulcer hemorrhage and shock

AU - Lin, Hwai Jeng

AU - Tsai, Yang Te

AU - Lee, Shou Dong

AU - Lai, Kwok Hung

AU - Lee, Fa Yauh

AU - Lin, Ching Yi

AU - Lee, Chen Hsen

PY - 1988/12

Y1 - 1988/12

N2 - We treated 35 patients in shock from massive peptic ulcer hemorrhage with the heater probe HP). Twelve of them (34.3%) were poor surgical candidates. Their mean age was 62.3 years. All had massive bleeding, requiring an average of 2,300 ml of blood transfusion. The average lowest mean hemoglobin was 7.94 g/dl. We used the Olympus GIF-1T10 and the HP unit, applying an average of 899 J to each bleeder. In 34 patients (97.1%) hemostasis was achieved after initial treatment. Six patients (17.6%) rebled within 1 week. With HP therapy in those six we achieved hemostasis in five (83.3%). Ultimately, only two cases failed in this study, to give a success rate of 94.3% (33/35). We conclude that HP thermocoagulation may, in the near future, replace operations in many patients with massive peptic ulcer hemorrhage.

AB - We treated 35 patients in shock from massive peptic ulcer hemorrhage with the heater probe HP). Twelve of them (34.3%) were poor surgical candidates. Their mean age was 62.3 years. All had massive bleeding, requiring an average of 2,300 ml of blood transfusion. The average lowest mean hemoglobin was 7.94 g/dl. We used the Olympus GIF-1T10 and the HP unit, applying an average of 899 J to each bleeder. In 34 patients (97.1%) hemostasis was achieved after initial treatment. Six patients (17.6%) rebled within 1 week. With HP therapy in those six we achieved hemostasis in five (83.3%). Ultimately, only two cases failed in this study, to give a success rate of 94.3% (33/35). We conclude that HP thermocoagulation may, in the near future, replace operations in many patients with massive peptic ulcer hemorrhage.

KW - Heater probe

KW - Shock

KW - Thermocoagulation

KW - Upper gastrointestinal bleeding

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JO - Journal of Clinical Gastroenterology

JF - Journal of Clinical Gastroenterology

IS - 6

ER -

Heater probe in massive peptic ulcer hemorrhage and shock

Abstract

Keywords

ASJC Scopus subject areas

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