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The Application of Hemospray in Gastrointestinal Bleeding during Emergency Endoscopy
Joint Authors
Neurath, Markus F.
Nägel, Andreas
Hagel, Alexander F.
Vitali, Francesco
Vetter, Marcel
Dauth, Christine
Raithel, Martin
Albrecht, Heinz
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-23
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
Gastrointestinal bleeding represents the main indication for emergency endoscopy (EE).
Lately, several hemostatic powders have been released to facilitate EE.
Methods.
We evaluated all EE in which Hemospray was used as primary or salvage therapy, with regard to short- and long-term hemostasis and complications.
Results.
We conducted 677 EE in 474 patients (488 examinations in 344 patients were upper GI endoscopies).
Hemospray was applied during 35 examinations in 27 patients (19 males), 33 during upper and 2 during lower endoscopy.
It was used after previous treatment in 21 examinations (60%) and in 14 (40%) as salvage therapy.
Short-term success was reached in 34 of 35 applications (97.1%), while long-term success occurred in 23 applications (65.7%).
Similar long-term results were found after primary application (64,3%) or salvage therapy (66,7%).
Rebleeding was found in malignant and extended ulcers.
One major adverse event (2.8%) occurred with gastric perforation after Hemospray application.
Discussion.
Hemospray achieved short-term hemostasis in virtually all cases.
The long-term effect is mainly determined by the type of bleeding source, but not whether it was applied as first line or salvage therapy.
But, even in the failures, patients had benefit from hemodynamic stabilization and consecutive interventions in optimized conditions.
American Psychological Association (APA)
Hagel, Alexander F.& Albrecht, Heinz& Nägel, Andreas& Vitali, Francesco& Vetter, Marcel& Dauth, Christine…[et al.]. 2017. The Application of Hemospray in Gastrointestinal Bleeding during Emergency Endoscopy. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156296
Modern Language Association (MLA)
Hagel, Alexander F.…[et al.]. The Application of Hemospray in Gastrointestinal Bleeding during Emergency Endoscopy. Gastroenterology Research and Practice No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1156296
American Medical Association (AMA)
Hagel, Alexander F.& Albrecht, Heinz& Nägel, Andreas& Vitali, Francesco& Vetter, Marcel& Dauth, Christine…[et al.]. The Application of Hemospray in Gastrointestinal Bleeding during Emergency Endoscopy. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156296
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156296