PDF(Pubmed)
Abstract：
BACKGROUND: There is a high annual incidence of acute, nonvariceal upper gastrointestinal bleeding in Chinese adults. Early endoscopic intervention can reduce rates of rebleeding, surgery, and mortality. The metal clip is the most common method for establishing homeostasis; however, it possesses several limitations. In patients with bleeding secondary to large gastric ulcers, the clip will often fail to stop the bleeding. This article highlights the use of an elastic traction ring as a novel hemostatic method for patients with upper gastrointestinal bleeding.
METHODS: An elderly male presented to the emergency room with complaints of hematemesis and melena. Endoscopic examination revealed an ulcer (Forrest IIa) in the lesser curvature of the gastric antrum. Six tissue clips and one elastic traction ring were inserted into the stomach cavity to suture the ulcer. The patient recovered quickly without postoperative gastrointestinal bleeding. Two months later, the patient\'s ulcer was significantly healed.
CONCLUSIONS: To our best knowledge, this is the first report to demonstrate the safety and efficacy of elastic traction rings for upper gastrointestinal bleeding. Elastic traction rings should be considered a routine therapeutic modality for patients with upper gastrointestinal bleeds.
METHODS: An elderly male presented to the emergency room with complaints of hematemesis and melena. Endoscopic examination revealed an ulcer (Forrest IIa) in the lesser curvature of the gastric antrum. Six tissue clips and one elastic traction ring were inserted into the stomach cavity to suture the ulcer. The patient recovered quickly without postoperative gastrointestinal bleeding. Two months later, the patient\'s ulcer was significantly healed.
CONCLUSIONS: To our best knowledge, this is the first report to demonstrate the safety and efficacy of elastic traction rings for upper gastrointestinal bleeding. Elastic traction rings should be considered a routine therapeutic modality for patients with upper gastrointestinal bleeds.
摘要：
背景：急性疾病的年发病率很高，中国成年人非静脉曲张性上消化道出血.早期内镜干预可降低再出血率。手术,和死亡率。金属夹子是建立体内平衡的最常见方法；然而，它有几个局限性。在大面积胃溃疡继发出血的患者中，夹子往往不能止血。本文重点介绍了使用弹性牵引环作为上消化道出血患者的一种新型止血方法。
方法：一名老年男性因吐血和黑便出现在急诊室。内窥镜检查显示胃窦的较小曲率有溃疡（ForrestIIa）。将六个组织夹和一个弹性牵引环插入胃腔以缝合溃疡。患者恢复较快，术后无消化道出血。两个月后,患者的溃疡明显愈合。
结论：据我们所知，这是第一份证明弹性牵引环治疗上消化道出血的安全性和有效性的报告.弹性牵引环应被视为上消化道出血患者的常规治疗方式。
方法：一名老年男性因吐血和黑便出现在急诊室。内窥镜检查显示胃窦的较小曲率有溃疡（ForrestIIa）。将六个组织夹和一个弹性牵引环插入胃腔以缝合溃疡。患者恢复较快，术后无消化道出血。两个月后,患者的溃疡明显愈合。
结论：据我们所知，这是第一份证明弹性牵引环治疗上消化道出血的安全性和有效性的报告.弹性牵引环应被视为上消化道出血患者的常规治疗方式。
