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
