STUDY THE EFFICACY OF HEMOCLIP IN ENDOSCOPIC HEMOSTASIS COMBINED WITH HIGH-DOSE INFUSION OF PROTON-PUMP INHIBITOR IN PATIENTS WITH PEPTIC ULCER BLEEDING

Abstract

Background: Peptic ulcer bleeding is one of the common emergency cases in gastroenterology, the mortality rate is high. The study of the effecacy of hemoclip in endoscopic hemostasis therapy that helps to give an effective method for treatment peptic ulcer bleeding, to save cost for patients, to avoid a surgery that is serious for these patients. Objective:(i) To determine the prevalence of peptic ulcer bleeding with high risk of rebleeding (FIA, FIB and FIIA) according to Forrest classification; (ii) To determine effecacy of hemoclip in endoscopic hemostasis in patients with peptic ulcer bleeding. Patients and methods:A cross sectional study on 22 patients with peptic ulcer bleeding in Can Tho Center General Hospital during May 2012 to October 2013. Results:The rate of active bleeding group (Forrest type IA and IB) and visible vessel group (Forrest type FIIA) were 50% and 50%. Hemostatic rate by clipping was 95.5%, and the rebleeding rate was only 9.1%; the rate of emergent surgery and mortality were 4.5% and 4.5%. Conclusion:Endoscopic hemoclip treatment for bleeding due to peptic ulcer is an effective and safe method. The percentage of success was high 95.5%. The rebleeding rate was low, only 9.1%. The number of patients haved been operated and the dead rate were low, only 4.5%. Key words: Peptic ulcer bleeding, hemoclip, endoscopic hemostasis therapy