Satoh T, Shimoyama T, Fukuda S, Saito A, Munakata A
First Department of Internal Medicine, Hirosaki University, Japan.
Endoscopy. 2000 Jan;32(1):84-6. doi: 10.1055/s-2000-84.
We utilized balloon compression in two cases of arterial hemorrhage from duodenal ulcers. The bleeding was quickly controlled in both cases. The advantages of this technique are its simplicity and ease of performance, and the fact that it does not require precise identification of the bleeding point in the duodenal bulb. No serious complications, such as perforation or stenosis, are associated with this technique. During the healing of the ulcer, balloon expansion may result in decreased duodenal bulb deformity. The following points, however, should be clarified in future studies: a) the stability of the duodenal bulb after longer-term balloon compression, and b) the optimum amount of cold water to be injected into the balloon and the optimum compression time.
我们对两例十二指肠溃疡动脉出血患者采用了球囊压迫法。两例患者的出血均迅速得到控制。该技术的优点是操作简单、易于实施，且无需精确识别十二指肠球部的出血点。该技术不会引发穿孔或狭窄等严重并发症。在溃疡愈合过程中，球囊扩张可能会减少十二指肠球部畸形。然而，未来的研究应明确以下几点：a）长期球囊压迫后十二指肠球部的稳定性；b）注入球囊的最佳冷水量及最佳压迫时间。
