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Endoscopic Treatment with Band Ligation and Electrocoagulation forNon-Variceal, Non-Ulcer Upper Gastrointestinal Bleeding  

Kim, Hwa-Min (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Ku, Yang-Suh (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Chung, Moon-Gi (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Kim, Young-Nam (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Lim, Do-Yoon (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Kwon, Kwang-An (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Park, Dong-Kyun (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Kim, Sun-Suk (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Kim, Yeon-Suk (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Kwon, So-Young (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Kim, Yu-Kyung (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Choi, Duck-Joo (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Kim, Ju-Hyun (Department of Internal Medicine, Gachon Medical School, Gil Medical Center)
Publication Information
Clinical Endoscopy / v.33, no.2, 2006 , pp. 69-76 More about this Journal
Abstract
Background/Aims: This study compared the therapeutic efficacy of endoscopic band ligation (EBL) with that of electrocoagulation for treating non-variceal, non-ulcer (NVNU) upper gastrointestinal (UGI) bleeding. Methods: This study included 89 patients who underwent EBL and 56 patients in whom monopolar electrocoagulation was performed for NVNU UGI bleeding. The lesions treated were Mallory-Weiss tear in 91 patients, Dieulafoy's lesion in 42 patients and angiodysplasia in 12 patients. Results: The initial hemostatic rate was 97% in the EBL group and 91% in the electrocoagulation group, but this was not statistically different. Rebleeding occurred in 5 of 89 patients (5.6%) in the EBL group and in 8 of 56 patients (14.3%) in the electrocoagulation group (p=0.07). Thrombocytopenia or prothrombin time prolongation was confirmed to be a significant risk factor for rebleeding. The rebleeding rate in the high risk group was significantly lower than in the EBL group (9% vs. 30%, respectively, p=0.03). The median procedure time was significantly shorter in the EBL group compared with that in the electrocoagulation group (median 5.6 minutes vs. 8.3 minutes, respectively, p=0.04). Conclusions: EBL and electrocoagulation are both effective for treating NVNU UGI bleeding, and EBL is especially safe and effective for the cases with a high risk for rebleeding.
Keywords
Gastrointestinal bleeding; Endoscopic band ligation; Electrocoagulation;
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