[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
August 1975

Electrocoagulation of Bleeding in the Upper Part of the Gastrointestinal TractA Preliminary Experimental Clinical Report

Author Affiliations

From the Department of Surgery, Wayne State University, Detroit.

Arch Surg. 1975;110(8):975-979. doi:10.1001/archsurg.1975.01360140119023

Electrocoagulation of gastric or esophageal bleeding sites was evaluated in dogs using a flexible suction coagulator electrode passed through the endoscope using an electrocautery unit (Cameron-Miller model 80-7910).

Acute and chronic coagulation studies in 25 dogs showed that electrocoagulation of both the esophageal and gastric mucosa was safe at an electrocautery unit setting of 5 for three to five seconds. This level of coagulation was successful in stopping bleeding created from actively bleeding esophageal and gastric mucosal defects by taking multiple large biopsy specimens. Based on these data, six patients with active bleeding gastric lesions have undergone mucosal coagulation. This successfully stopped the bleeding initially in all six patients; two patients rebled and required operative intervention within 48 hours. Further clinical evaluation is being implemented to determine its clinical role in the treatment of bleeding in the upper part of the gastrointestinal tract.

Sugawa C, Werner MH, Hayes DF, et al:  Early endoscopy: A guide to therapy for acute hemorrhage in the upper gastrointestinal tract . Arch Surg 107:133-137, 1973.Article
Athanasoulis CA, Baum S, Waltman AC, et al:  Control of acute gastric mucosal hemorrhage . N Engl J Med 290:597-603, 1974.Article
Dwyer RM, Haverback BJ, Bass M, et al:  Laser-induced hemostasis in the canine stomach . JAMA 231:486-489, 1975.Article
Silvis SE, Blackwood WD:  Observation on the healing of gastric lesions produced by gastroscopic electrosurgery . Gastroenterology 64:370-374, 1973.
Blackwood WD, Silvis SE:  Standardization of electrosurgical lesions . Gastrointest Endosc 21:22-24, 1974.Article
Blackwood WD, Silvis ES:  Electrocoagulation of hemorrhagic gastritis . Gastrointest Endosc 18:53-55, 1971.Article
Papp JP:  Endoscopic electrocoagulation in upper gastrointestinal hemorrhage . JAMA 230:1172-1175, 1974.Article
Curtiss LE:  High frequency currents in endoscopy: A review of principles and precautions . Gastrointest Endosc 20:9-12, 1973.Article
Wirthlin LS, Urk HV, Malt RB, et al:  Predictors of surgical mortality in patients with cirrhosis and non-variceal gastrointestinal bleeding . Surg Gynecol Obstet 139:65-68, 1974.