EFFECTIVENESS OF INFILTRATION ENDOSCOPIC HEMOSTASIS IN PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING
Role of infi ltration endoscopic hemostasis in patients with upper gastrointestinal bleeding is continuing to debate. MATERIAL AND METHODS Results of infi ltration endoscopic hemostasis in 1170 patients with gastroduodenal ulcer bleeding, Mallory-Weiss syndrome and Dieulafoy defects. For hemostasis used 1% hydrogen peroxide and 5% aminocaproic acid solutions. In some patients clipping used for hemostasis. Adrenalin infi ltration did not use in any patient. RESULTS There were no statistical signifi cant differences in primary effectiveness of hemostasis between groups, as for the rate of bleeding reoccurrence and clinical signs of bleeding reoccurrence (between using different solutions and between using any solution and clipping). Infi ltration with 1% hydrogen peroxide solution was more effective for prevention of clinical signifi cant bleeding reoccurrence. CONCLUSION Infi ltration endoscopic hemostasis without using adrenalin is effective for hemostasis and its effectiveness is comparable with clipping.