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- W2337960900 abstract "In case of spontaneous gastrointestinal bleeding or bleeding related to endoscopic therapy the aim of management is to stop definitively the bleeding. Such a success avoids others more invasive hemostatic modalities and is associated with better prognosis. Efficient endoscopic hemostatic devices are injections of diluted epinephrine or cyanoacrylate in case of portal hypertension, thermal methods (thermocoagulation and argon plasma coagulation) and mechanical methods (hemoclipping, banding ligation, endoloop). Therapeutic options are mainly depending on the size and the cause of the bleeding, if bleeding is active or not, but not on location at upper, lower or mild intestine. Endoscopic devices are more often used for therapeutic hemostasis than for prevention; however, for prevention of bleeding, clips and endoloop are more adapted. Injection therapy with dilute epinephrine is very easy to do, very efficient at least for a short time, without morbidity and is a good way to stop bleeding before possible complementary treatment. Thermal methods are associated with a low risk of perforation. Plasma argon coagulation is more and more used but is not useful in case of active bleeding. Hemoclipping with one or more clips is often efficient, and brings about no tissular lesions and clips are easily eliminated. In case of rebleeding after initial endoscopic success, endoscopic retreatment is associated with definitive hemostasis in about 80% of cases. Mots cles Hemorragie digestive endoscopie therapeutique hemostase endoscopique" @default.
- W2337960900 created "2016-06-24" @default.
- W2337960900 creator A5004321945 @default.
- W2337960900 date "2009-01-01" @default.
- W2337960900 modified "2023-09-23" @default.
- W2337960900 title "Méthodes d'hémostase endoscopique : injection, coagulation, endoloop, clip, ligature élastique Endoscopic hemostatic devices: injection therapy, coagulation, endoloop, clips, banding ligation" @default.
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