Department of Gastroenterology, Turkiye Yuksek Ihtisas Teaching and Research Hospital, Sihhiye, Ankara, Turkey.
Dig Liver Dis. 2010 Mar;42(3):196-9. doi: 10.1016/j.dld.2009.05.006. Epub 2009 Jun 21.
The aim of this study was to retrospectively assess the haemostatic efficacy of the endoscopic topical use of Ankaferd Blood Stopper (ABS) in the setting of neoplastic GI bleeding.
The records of 10 patients with neoplastic GI bleeding (7 gastric, 3 rectal) were evaluated retrospectively. Written informed consent regarding the off-label use of ABS as a means of attaining haemostasis had been obtained from all of the patients prior to the procedure. In all patients, ABS was applied topically. Rates of bleeding control and post-procedural complications were documented.
Haemostasis was achieved in all patients within seconds of endoscopic application of ABS, with no immediate complications. Seven patients underwent subsequent cancer surgery after a bleeding-free post-procedural period.
ABS as a novel haemostatic agent could have a potential benefit in controlling bleeding from GI tumours. Prospective controlled studies are needed to help establish its efficacy, and perhaps offer a comparison to conventional haemostatic interventions.
本研究旨在回顾性评估内镜局部应用安卡福止血剂(ABS)治疗肿瘤性胃肠道出血的止血效果。
回顾性评估了 10 例肿瘤性胃肠道出血患者(7 例胃,3 例直肠)的记录。所有患者均在接受 ABS 内镜下局部应用前签署了关于 ABS 作为止血手段的书面知情同意书。所有患者均局部应用 ABS。记录止血率和术后并发症。
ABS 内镜下局部应用后数秒内所有患者均迅速止血,无立即并发症。7 例患者在术后无出血期后接受了后续癌症手术。
作为一种新型止血剂,ABS 可能对控制胃肠道肿瘤出血有益。需要进行前瞻性对照研究来帮助确定其疗效,并可能与传统止血干预措施进行比较。