Caputi Iambrenghi O, Lospalluti M, Piccinni G, Lippolis A
Clinica Chirurgica II, Post-Graduate School in Digestive Surgery and Endoscopy, Università di Bari, Ospedale Consorziale Policlinico, Italy.
Surg Endosc. 1995 Oct;9(10):1090-2. doi: 10.1007/BF00188993.
Bleeding non-neoplastic lesions of the upper gastrointestinal tract, not due to portal hypertension, are a frequent cause of emergency admission. In the present paper we report our retrospective experience in hemostatic injection treatment of these lesions. From May 1990 to May 1994, 164 patients were admitted to our institution for a bleeding gastrointestinal lesion. In 124 cases an ulcer classified according Forrest's criteria was detected. Four patients underwent immediate surgery. The second group of 86 patients (FIIa/FIIb/FIII) were treated conservatively. The third group of 34 patients (FIa/FIb/FIIa) underwent perilesional injection of adrenaline 1:10,000 and polidocanol 1% saline solution during endoscopic examination; 29% (25 pts) of the second group re-bled during the first 72 h vs 8.8% (3 pts) of the third group. The postoperative morbidity in the rebleeding patients was higher in the second group: 38.4% vs 0%. The importance of immediate, inexpensive, and simple hemostatic treatment extended to Forrest IIa lesions is emphasized.
非因门静脉高压导致的上消化道非肿瘤性出血是紧急入院的常见原因。在本文中，我们报告了对这些病变进行止血注射治疗的回顾性经验。1990年5月至1994年5月，164例因胃肠道出血性病变入住我院。其中124例经Forrest标准分类为溃疡。4例患者立即接受手术。第二组86例患者（FIIa/FIIb/FIII）接受保守治疗。第三组34例患者（FIa/FIb/FIIa）在内镜检查期间接受1:10,000肾上腺素和1%聚多卡醇盐水溶液的病灶周围注射；第二组29%（25例）患者在最初72小时内再次出血，而第三组为8.8%（3例）。再次出血患者的术后发病率在第二组较高：38.4% 对0%。强调了对Forrest IIa病变进行即时、廉价且简单的止血治疗的重要性。
