Endoscopic hemostasia

RATIONALE: Endoscopic injection sclerotherapy (EIS) is a common treatment for patients with liver cirrhosis and esophageal varices. It can effectively treat variceal rupture and bleeding caused by liver cirrhosis. However, EIS has many complications, including postoperative bleeding, retrosternal pain, esophageal ulcers, esophageal stenosis, and ectopic embolism. Intramural hematoma of the esophagus (IHE) is a rare complication of EIS that can lead to chest tightness, chest pain, and dysphagia...

BACKGROUND: There is a high annual incidence of acute, nonvariceal upper gastrointestinal bleeding in Chinese adults. Early endoscopic intervention can reduce rates of rebleeding, surgery, and mortality. The metal clip is the most common method for establishing homeostasis; however, it possesses several limitations. In patients with bleeding secondary to large gastric ulcers, the clip will often fail to stop the bleeding. This article highlights the use of an elastic traction ring as a novel hemostatic method for patients with upper gastrointestinal bleeding...

Video 1Endoscopic submucosal dissection (ESD) of large rectal lateral spreading tumors (LSTs) that extend to the dentate line with internal hemorrhoids is a challenging procedure because of the increased risk of bleeding from penetrating and hemorrhoidal vessels and the reduced visual field caused by the dilated venous packages and the narrow anal lumen.This video describes novel technical approaches to minimize the risk of intraoperative bleeding.The described approaches are indicated in large rectal LSTs that extend to the dentate line with large internal hemorrhoids...

OBJECTIVE: To investigate the clinical effect of negative pressure drainage after septum surgery. METHOD: One hundred and two cases with septum deviation were randomly divided into two groups, i. e. experimental group and controlling one. With 51 cases in each. Degree of comfort and complication of two groups were compared. RESULT: The cases in experimental group showed significantly relieved postoperative reaction with negative pressure drainage, when compared with that of controls, the incidence of complication were not increased...

BACKGROUND: Defects of the dura in the rhinobasal area can be closed transnasally. Various procedures with autologous or alloplastic material can be chosen. METHOD: From 2001 to 2004, we closed a rhinobasal dura defect with Ethisorb or Ethisorb durapatch in sandwich technique in 8 patients. After smoothing the bone edges, Ethisorb is applied under microscopic or endoscopic view endocranially, extradurally as "underlay" to seal and absorb the liquor pressure pillar...

OBJECTIVE: To summarize the efficacy of Sorbalgon strips used in endoscopic sinus surgery (ESS), to explore a better nasal packing materials. METHOD: From Jan. 2000 to Apr. 2003., 2013 cases with Sorbalgon strips for nasal packing of nasal chronic sinusitis and polyps after endoscopic sinus surgery, and compared with packing of Aureomycin ointment gauze. The hemostasia effect and nasal cavity response were observed. RESULT: Sorbalgon strips had effectiveness at controlling hemorrhage in ESS...

OBJECTIVE: To select an effective nasal cavity packing hemostasia material in functional endoscopic sinus surgery. METHOD: The hemostasia effect and nasal cavity response between vaseline gauze strip and Sorbalgon was compared after FESS. RESULT: There was a good hemostasia result when using Sorbalgon to pack the nasal cavity in FESS. Only gently headache and nasal cavity pain was found after packing. Few bleeding was taken after nasal wadding drawn out, and the nasal mucosa response was gentle...

OBJECTIVE: To observe the long-term curative effect of endoscopic sinus surgery(ESS). METHOD: 165 cases (276 sides) of chronic sinusitis and nasal polyps were treated with ESS, and following up survey 1 year post-operatively. RESULT: It was found that 107 cases were cured (64.8%), 43 cases achieved symptomatic relief (26.1%), 15 cases remained failure (9.1%), and the effective rate was 90.9%, mainly operative complication was adhesion of nasal cavity...

BACKGROUND: Bleeding ulcers are a major problem in public health and represent approximately half of all the cases of upper gastrointestinal hemorrhage in the United States. This study aims to determine the prognostic value of factors such as clinical history, laboratory and endoscopic findings in the occurrence of new episodes of bleeding in patients who have upper gastrointestinal hemorrhage caused by gastric or duodenal peptic ulcer. METHODS: A cohort study with 94 patients was designed to investigate prognostic factors to the occurrence of new episodes of bleeding...