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Endoscopy 1985; 17(4): 129-132
DOI: 10.1055/s-2007-1018481
© Georg Thieme Verlag KG Stuttgart · New York

Injection of Nonvariceal Bleeding Lesions of the Upper Gastrointestinal Tract

N. Soehendra, H. Grimm, M. Stenzel
  • Department of Surgery, University of Hamburg, Federal Republic of Germany
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Publikationsdatum:
17. März 2008 (online)

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Summary

In a prospective series 102 non-variceal upper GI bleeders were studied. An indication for endoscopic injection therapy was seen in 63 patients. In accordance with bleeding intensity, 27 patients were grouped as Forrest Ia, 37 as Forrest Ib, 8 as Forrest II with a “visible vessel” and 13 as Forrest II without one.

Definitive hemostasis was achieved in almost 100 % of the cases. Within the Forrest la group mortality was lowered to 11 % as compared with 20 % within the emergency surgery group. More than 80 % of patients had at least one severe coexistent illness. The aim of endoscopic injection is to avoid surgery in high-risk patients.

Key words:

Upper GI bleeding - Endoscopic injection treatment