Endoscopic haemostasis by injection-therapy in high-risk patients.

摘要: The diagnosis of an upper gastrointestinal bleeding can be clarified quickly and reliably by emergency endoscopy. It would seem reasonable to make this efficient diagnostic approach available for therapy in order stop the bleeding. Over a period 2 1/2 years, we discovered active or several recurrences during endoscopy 36 patients with high operative risk. In these cases attempted local haemostasis sclerosing injections. Most had signs shock at time admission. average haemoglobin level was 7:42 g/100 ml, blood requirement 4.4 units first 24 hours. 12 stress lesions, 19 important factors militating against operation, namely age serious primary diseases, 5 other risk factors. 33 out (91.9 %) accomplished 7 occurred, 3 bleeds were arrested repeated sclerosing. Thus definitive achieved 29 (80.6 %). We believe that it is justified attempt endoscopic sclerotherapy high-risk before undertaking operation.