Heater-probe treatment of bleeding peptic ulcers
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Fifty-six patients with actively bleeding peptic ulcers were treated with the heater-probe unit. Initial haemostasis was achieved in 48 patients (85.7%). The mean number of heater-probe applications was 6.7 pulses at a setting of 25–30 J. Rebleeding occurred in 11 patients (19.6%). Five were successfully treated with repeat heater-probe treatment, 5 required emergency surgery, and 1 rebleeding was stopped by adrenaline injection. The complications included one perforation in a patient with duodenal ulcer. The overall mortality was 2/56 (3.6%). Heater-probe treatment is an effective and safe haemostatic method for controlling actively bleeding ulcers.
Key wordsBleeding peptic ulcers Endoscopic haemostasis Heater probe
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