Summary
For the purpose of arresting hemorrhage from bleeding gastric or duodenal ulcers we
developed, in 28 high-risk patients, a new method of endoscopic local injection of
epinephrine (1:10.000) followed by electro-hydro monopolar coagulation and injection
of Polidocanol (1 %). Nine patients had signs of shock at the time of admission. The
average blood requirements were 3.9 units in the first 24 hours. All patients had
important factors militating against surgery, namely age and serious primary disease.
In 26 out of 28 patients (92.8 %) hemostasis was accomplished during endoscopy. Three
patients (10.7 %) rebled within the first 36 hours, requiring emergency surgery. Thus
definitive hemostasis was achieved in 23 patients (82.1 %). There were no complications
as a result of endoscopic treatment.
