Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1377
11
1
gregorian
1999
2
1
12
4
online
1
fulltext
en
HEATER PROBE THERMOCOAGULATION A S A SUBSTITUTE FOR SURGICAL INTERVENTION TO ARREST MASSIVE PEPTIC ULCER BLEEDING: A CONTROLLED, PROSPECTIVE ANALYSIS OF 42 CASES
Gastroenterology
Gastroenterology
Original Research
Original Research
The goal of this study was to compare the effect of heater probe thermocoagulation
for massive bleeding of peptic ulcers with a control group. Between March 1992 and
August 1995 we used heater probe thermocoagulation endoscopically to treat 42
patients with active UGl bleeding or nonbleeding visible vessels at the base of ulcer
craters within 2-3 hours of admission. We also selected 42 patients with active
bleeding or non bleeding visible vessels who did not receive any endoscopic
treatment but were instead treated conservatively as the control group.
The energy applied to each of our patients in the heater probe group was
105±22.5 J (mean±SD). Rebleeding occurred within 2-5 days in 2 patients (4.7%) in
the heater pro be group versus 9 patients (21.4 % ) in the control group (p= 0.05). Mean
duration of admission in the heater probe group was 4.3±3.1 days versus 6.9±3.8 days
in the control group which was comparable (p= 0.0027).
There were no statistically significant differences between the two groups
concerning transfusion requirement and mortality. Heater probe therapy was tolerated
by the patients very well and no complications occurred.
Heater probe thermocoagulation is an effective, safe and economical procedure
for treating peptic ulcer bleeding.
Peptic ulcer, Bleeding, Heater probe treatment.
303
307
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-429&slc_lang=en&sid=1
D
SHARIFI DOLOUI
20031947532846004708
20031947532846004708
Yes
From the Department of Gastroenterology, Department of Internal Medicine, Ghaem Medical School,