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)
Papp JP. Endoscopic Electrocoagulation in Upper Gastrointestinal Hemorrhage: A Preliminary Report. JAMA. 1974;230(8):1172–1173. doi:10.1001/jama.1974.03240080054032
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