Hsieh Yu-Hsi, Lin Hwai-Jeng
Division of Gastroenterology, Department of Medicine, Buddhist Dalin Tzu Chi General Hospital, Chia-Yi and Buddhist Tzu Chi University, School of Medicine, Hwalien, Taiwan.
N Z Med J. 2011 Aug 26;124(1341):38-44.
To investigate whether heater probe therapy is effective for patients showing rebleeding from peptic ulcers.
We retrospectively reviewed the case profiles in our previous studies on endoscopic therapy for high-risk patients with peptic ulcer bleeding in the past two decades. We analysed the outcomes of 191 patients who showed rebleeding after initial endoscopic haemostasis and received endoscopic therapy with heater probe thermocoagulation. .
A total of 191 patients showing rebleeding received heater probe thermocoagulation. After re-therapy, 158 patients (82.7%) achieved ultimate haemostasis. Twenty-five of the 33 patients who failed to achieve haemostasis received surgical intervention. Ten patients (5.2%) died within 1 month after re-therapy.
Heater probe thermocoagulation can be used as the first choice for management of patients showing rebleeding after initial endoscopic therapy.
探讨热探头疗法对消化性溃疡再出血患者是否有效。
我们回顾性分析了过去二十年中我们之前关于高危消化性溃疡出血患者内镜治疗研究的病例资料。我们分析了191例在初次内镜止血后出现再出血并接受热探头热凝内镜治疗的患者的治疗结果。
共有191例出现再出血的患者接受了热探头热凝治疗。再次治疗后，158例患者（82.7%）最终实现止血。33例未实现止血的患者中有25例接受了手术干预。10例患者（5.2%）在再次治疗后1个月内死亡。
热探头热凝治疗可作为初次内镜治疗后出现再出血患者治疗的首选方法。
