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首页> 外文期刊>Endoscopy: Journal for Clinical Use Biopsy and Technique >Rescue endoscopic bleeding control for nonvariceal upper gastrointestinal hemorrhage using clipping and detachable snaring
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Rescue endoscopic bleeding control for nonvariceal upper gastrointestinal hemorrhage using clipping and detachable snaring

机译：内窥镜夹钳和可分离式声纳抢救内镜止血治疗非曲张性上消化道出血

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摘要

Nonvariceal upper gastrointestinal (UGI) bleeding recurs after appropriate endoscopic therapy in 10 % - 15 % of cases. The mortality rate can be as high as 25 % when bleeding recurs, but there is no consensus about the best modality for endoscopic re-treatment. The aim of this study was to evaluate clipping and detachable snaring (CDS) for rescue endoscopic control of nonvariceal UGI hemorrhage. We report a case series of seven patients from a Korean tertiary center who underwent endoscopic hemostasis using the combined method of detachable snares with hemoclips. The success rate of endoscopic hemostasis with CDS was 86 %: six of the seven patients who had experienced primary endoscopic treatment failure or recurrent bleeding after endoscopic hemostasis were treated successfully. In conclusion, rescue endoscopic bleeding control by means of CDS is an option for controlling nonvariceal UGI bleeding when no other method of endoscopic treatment for recurrent bleeding and primary hemostatic failure is possible.
机译：适当的内镜治疗后，非静脉曲张性上消化道出血（UGI）再次发生，占10％-15％。当出血再次发生时，死亡率可能高达25％，但是对于内镜再治疗的最佳方式尚无共识。这项研究的目的是评估剪辑和可分离的声纳（CDS）的内镜控制非静脉曲张性UGI出血。我们报道了来自韩国三级中心的七例患者的病例系列，他们使用可分离的圈套器与止血钳的组合方法进行了内镜止血。 CDS内镜止血的成功率为86％：在内镜止血后经历内镜原发性治疗失败或复发性出血的7例患者中有6例得到了成功治疗。总之，如果没有其他内镜治疗复发性出血和原发性止血的方法，通过CDS抢救内窥镜出血是控制非静脉曲张性UGI出血的一种选择。

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