PMID: 8583095Sep 1, 1995Paper

Heater probe thermocoagulation and multipolar electrocoagulation for arrest of peptic ulcer bleeding. A prospective, randomized comparative trial

Journal of Clinical Gastroenterology
H J LinS D Lee

Abstract

Both heater probe thermocoagulation (HPT) and multipolar electrocoagulation (MPEC) are promising techniques to control peptic ulcer bleeding. However, their hemostatic effects are still not proven conclusively in controlled trials. Here we have tried to do that. Patients with a bleeding ulcer or a nonbleeding visible vessel at the ulcer base received either HPT or MPEC randomly. We compared hemostatic rates, rebleeding rates, hospital stay, volume of blood transfusion, number of operations, and mortality between both groups. A total of 80 patients entered this trial. Patients of both groups had similar ultimate hemostatic rates (HPT 92.5%, MPEC 85%), days in hospital (HPT 5.4, MPEC 5.0), volume of blood transfusion (mean values: HPT 1,774 ml, MPEC 1,974 ml), number of operations (HPT 3, MPEC 3), and mortality (HPT 2, MPEC 3). Both therapeutic approaches are safe and effective for peptic ulcer bleeding.

Citations

May 5, 2004·Best Practice & Research. Clinical Gastroenterology·David J Exon, S C Sydney Chung
Aug 2, 2005·Journal of Pediatric Gastroenterology and Nutrition·T G Lokesh BabuCollin C Barker
Aug 18, 2009·Journal of Gastroenterology and Hepatology·Victoria P Y Tan, Benjamin C Y Wong
Aug 18, 2009·Journal of Gastroenterology and Hepatology·Gul JavidMushtaq Ahmad Khan
Oct 11, 2012·Gastroenterology Research and Practice·Hyung-Keun KimSon-Ook Choi
Nov 7, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Loren Laine, Kenneth R McQuaid
Aug 23, 2000·Baillière's Best Practice & Research. Clinical Gastroenterology·C Rollhauser, D E Fleischer
Aug 23, 2000·Baillière's Best Practice & Research. Clinical Gastroenterology·G A Machicado, D M Jensen
Oct 3, 2002·The American Journal of Gastroenterology·Hwai-Jeng LinShou-Dong Lee
Jan 16, 2003·The American Journal of Gastroenterology·Brennan M R SpiegelNimish B Vakil
Sep 14, 2006·The American Journal of Gastroenterology·Dennis M JensenUNKNOWN 315 Study Group
Apr 5, 2008·The Medical Clinics of North America·Mitchell S Cappell, David Friedel

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