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November 25, 1974

Endoscopic Electrocoagulation in Upper Gastrointestinal Hemorrhage: A Preliminary Report

Author Affiliations

From the Department of Medicine, Michigan State University School of Medicine, and the Division of Gastroenterology, Department of Internal Medicine, Blodgett Memorial Hospital, Grand Rapids, Mich.

JAMA. 1974;230(8):1172-1173. doi:10.1001/jama.1974.03240080054032

Emergent upper gastrointestinal endoscopy was performed in seven actively bleeding patients. The site of bleeding was found. Electrocoagulation with a flexible suction coagulator electrode (Cameron-Miller) passed through an endoscope (Olympus GIF) resulted in cessation of bleeding in all cases. The lesions coagulated were as follows: four benign gastric ulcers, one duodenal ulcer, one area of hemorrhagic gastritis, and one gastric varix. No morbidity or death occurred as a result of the electrocoagulation. The patient with a gastric varix died due to esophageal variceal bleeding. The remaining six patients were treated medically. No longer is endoscopy only a diagnostic technique; it can also be therapeutic. This new technique may be a valuable addition to the approach of treatment of upper gastrointestinal hemorrhage.

(JAMA 230:1172-1173, 1974)