Endoscopic High Power Neodymium-YAG Laser Irradiation for Control of Acute Gastrointestinal Haemorrhage

  • P. Kiefhaber
  • K. Moritz
  • G. Nath
  • W. Gorisch
Part of the Nato Advanced Study Institutes Series book series (NSSA, volume 34)


Gastrointestinal haemorrhage a dreaded complication of many diseases and injuries as well as of medical and surgical treatment has a high mortality rate. In spite of the different causes, circumstances and bleeding sources general rules can be obtained. The main problem in treating a gastrointestinal bleeding patient is to avoid transformation of haemorrhagic shock into irreversibility. Occurence of haemorrhagic shock begins in the first minutes of every severe bleeding incident showing functional, morphologic and metabolic disorders, not at least consumption coagulopathy. The conditions of shock will be worsened by an increasing duration of shock, an increasing number of transfused blood conserves and by an additional traumatization of an emergency operation (2), Therefore a fast and resolute approach to stop the bleeding conservatively was claimed by internists and surgeons for many years (1, 3).


Bleeding Site Haemorrhagic Shock Bleeding Source Laser Coagulation Acute Gastrointestinal Haemorrhage 
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Copyright information

© Plenum Press, New York 1980

Authors and Affiliations

  • P. Kiefhaber
    • 1
  • K. Moritz
    • 1
  • G. Nath
    • 2
  • W. Gorisch
    • 3
  1. 1.Medizinische Klinik Innenstadt d. Universität MünchenGermany
  2. 2.Fa. LumatecMünchenGermany
  3. 3.Gesellschaft f. Strahlen u. UmweltforschungMünchenGermany

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