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April 1978

Endoscopic ElectrocoagulationAn Alternative to Operative Therapy in Bleeding Peptic Ulcer Disease

Author Affiliations

From the Section of Gastroenterology (Dr Volpicelli) and the Department of Surgery (Drs McCarthy, Bartlett, and Badger), Lovelace-Bataan Medical Center, Albuquerque, NM. Dr Bartlett is now in private practice in Butte, Mont.

Arch Surg. 1978;113(4):483-486. doi:10.1001/archsurg.1978.01370160141024

• Twelve patients with severely bleeding peptic ulcers (six duodenal, five gastric, and one esophageal) who were considered to be at high operative risk were treated instead by endoscopic electrocoagulation of the bleeding point. Arrest of the bleeding was permanent in ten, one bled again two days later, and one patient died of nonulcer disease one day later. Although this method to control bleeding from peptic ulceration is new, it seems to offer promise especially when treating desperately ill people.

(Arch Surg 113:483-486, 1978)