Papp J P
Am J Gastroenterol. 1979 May;71(5):516-21.
Emergency endoscopy to find the site of upper gastrointestinal bleeding is now accepted as the diagnostic method of choice. Endoscopic electrocoagulation in uncontrolled series has been successful in 98% of patients so treated (142 of 147). If a vessel is seen in an ulcer bed, some preliminary data would support surgical treatment. In my opinion, electrocoagulation is favored to prevent further bleeding. While some physicians have found electrocoagulation safe and effective, there are some who remain guardedly cautious. In the near future, a multicenter randomized study will begin to further assess the usefulness, effectiveness and safety of endoscopic electrocoagulation. Endoscopic electrocoagulation has opened a Pandora's box to exciting research in finding ways of treating acute upper gastrointestinal hemorrhage. Currently, electrocoagulation is the front runner.
急诊内镜检查以确定上消化道出血部位目前已被公认为首选诊断方法。在非对照系列研究中，内镜电凝治疗对98%的患者（147例中的142例）有效。如果在溃疡底部看到血管，一些初步数据支持手术治疗。在我看来，电凝更有利于预防进一步出血。虽然一些医生发现电凝安全有效，但也有一些医生仍持谨慎态度。在不久的将来，一项多中心随机研究将开始进一步评估内镜电凝的实用性、有效性和安全性。内镜电凝开启了潘多拉魔盒，引发了关于治疗急性上消化道出血方法的激动人心的研究。目前，电凝处于领先地位。
