Adrenaline injection for endoscopic haemostasis in non-variceal upper gastrointestinal haemorrhage

R. J. C. Steele, K. G. M. Park, T. J. Crofts

    Research output: Contribution to journalArticle

    23 Citations (Scopus)

    Abstract

    Over a 30-month period, 53 patients with actively bleeding non-variceal lesions of the oesophagus, stomach or duodenum were treated by endoscopic injection of 1/10,000 adrenaline. Initial haemostasis was obtained in 50 cases, and permanent haemostasis in 44. Emergency surgery for bleeding was required in nine patients overall, and there were four deaths. All lesions requiring surgery were located on the posterior wall of the duodenum or the lesser curve of the stomach, and all but one had evidence of an exposed arterial vessel. Adrenaline injection is an effective, safe and simple method of endoscopic haemostasis.
    Original languageEnglish
    Pages (from-to)477-9
    Number of pages3
    JournalBritish Journal of Surgery
    Volume78
    Issue number4
    DOIs
    Publication statusPublished - Apr 1991

    Keywords

    • Adult
    • Aged
    • Aged, 80 and over
    • Duodenal Ulcer
    • Endoscopy, Digestive System
    • Epinephrine
    • Esophageal Diseases
    • Female
    • Gastrointestinal Hemorrhage
    • Hemostatic Techniques
    • Humans
    • Injections
    • Male
    • Middle Aged
    • Peptic Ulcer Hemorrhage
    • Stomach Ulcer

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