Randomized comparison of Nd YAG laser, heater probe, and no endoscopic therapy for bleeding peptic ulcers.

Abstract:

:Of 550 patients admitted with acute upper gastrointestinal hemorrhage, 143 with peptic ulcers containing stigmata of recent hemorrhage accessible to endoscopic therapy were included in a randomized comparison of neodymium yttrium aluminum garnet laser, heater probe, and no endoscopic therapy. The rebleeding rate in laser-treated patients (20%) was significantly less than in controls (42%; p less than 0.05), but in heater probe-treated patients (28%) it was not significantly different from either of the other two groups. The mortality rate in the laser group (2%) was not significantly different from either the heater probe (10%) or the control (9%) group. This trial has confirmed the efficacy of the Nd YAG laser but not that of the heater probe in the prevention of rebleeding from recently bleeding peptic ulcers.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Matthewson K,Swain CP,Bland M,Kirkham JS,Bown SG,Northfield TC

doi

10.1016/0016-5085(90)90339-3

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

1239-44

issue

5 Pt 1

eissn

0016-5085

issn

1528-0012

pii

0016-5085(90)90339-3

journal_volume

98

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    doi:

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