Chen Yen-I, Barkun Alan N
Division of Gastroenterology, McGill University Health Center, McGill University, Montreal, Quebec, Canada.
Division of Gastroenterology, McGill University Health Center, McGill University, Montreal, Quebec, Canada; Epidemiology and Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Gastrointest Endosc Clin N Am. 2015 Jul;25(3):535-52. doi: 10.1016/j.giec.2015.02.008. Epub 2015 Apr 18.
Topical hemostatic agents and powders are an emerging modality in the endoscopic management of upper and lower gastrointestinal bleeding. This systematic review demonstrates the effectiveness and safety of these agents with special emphasis on TC-325 and Ankaferd Blood Stopper. The unique noncontact/nontraumatic application, ability to cover large areas of bleed, and ease of use make these hemostatic agents an attractive option in certain clinical situations, such as massive bleeding with poor visualization, salvage therapy, and diffuse bleeding from luminal malignancies.
局部止血剂和粉末是上、下消化道出血内镜治疗中的一种新兴方式。本系统评价证明了这些药物的有效性和安全性,特别强调了TC - 325和安卡福得止血剂。这些止血剂独特的非接触/非创伤性应用、覆盖大面积出血部位的能力以及易用性,使其在某些临床情况下成为有吸引力的选择,如视野不佳的大出血、挽救治疗以及腔道恶性肿瘤的弥漫性出血。