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4. Cap-assisted hemoclip application with forward-viewing endoscope for hemorrhage induced by endoscopic sphincterotomy: a prospective case series study.

Author

Feng Liu, Guang-Yong Wang, Zhao-Shen Li, Liu, Feng, Wang, Guang-Yong, and Li, Zhao-Shen

Subjects
GALLSTONE treatment, HEMORRHAGE treatment, TREATMENT of surgical complications, GASTROSCOPY, HEMORRHAGE, LONGITUDINAL method, SURGICAL complications, SURGICAL instruments, TREATMENT effectiveness, ENDOSCOPIC gastrointestinal surgery, ENDOSCOPIC hemostasis, EQUIPMENT & supplies
Abstract

Background: Endoscopic sphincterotomy (ES) is a therapeutic technique developed as an advanced application of endoscopic retrograde cholangiopancreatography (ERCP). An important adverse event associated with this procedure is hemorrhage, which may sometimes be uncontrollable. We sought to examine whether cap-assisted hemoclip application is effective in controlling ES-induced hemorrhage.Methods: In this prospective study, we investigated the outcomes in 10 patients who had uncontrolled ES-induced hemorrhage and were treated by cap-assisted application of hemoclip with a forward-viewing endoscope.Results: Nine of the 10 investigated patients were successfully treated using the cap-assisted hemoclip technique with forward-viewing endoscope, yielding a success rate of 90 %. The patient with hemorrhage non-responsive to hemoclipping required catheter embolization of the bleeding artery after its identification by digital subtraction angiography. One of the 10 patients developed mild pancreatitis after the procedure, but was successfully managed conservatively.Conclusions: Cap-assisted hemoclip application with a forward-viewing endoscope appears to be an effective therapeutic modality for achieving hemostasis in cases of ES-induced hemorrhage, without the occurrence of any severe adverse events; we believe that this method should be considered as an option in the management of ES-induced hemorrhage. [ABSTRACT FROM AUTHOR]

Published
2015
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5. Analysis of the Effect of Three - Row Nail in Gastric Cancer Operation

Author

Wang Guang yong

Subjects
medicine.medical_specialty, business.industry, Skin flap, Anastomosis, Methylene blue test, Surgery, medicine.anatomical_structure, medicine, Observational study, Adverse effect, business, Anastomotic bleeding, Clinical treatment, Artery
Abstract

To study on the clinical efficacy of the repairing of the toe defect of the tip of the toe artery with skin flap. 48 patients with tip of toe defects who were admitted to our department from May 2014 to December 2015 were randomly divided into two groups: control group and observation group, 24 cases in each group. The patients in the control group were treated with abdominal pedicle flap while the patients in the observation group were treated with the toe artery skin flap for repair. The clinical curative effect of the two groups was analyzed. The total effective rate of clinical treatment was 23 (95.83%) in the observation group was significantly higher than that in the control group, 19 (79.16%), and the elasticity and texture of the flap were good and no obvious adverse reaction occurred. The difference between the two groups was significant, p 0.05). The length of stay in the hospital for the observational group was (16.17 ± 5.25) d, which was significantly lower than that of the control group (22.35 ± 7.18) d, the difference was statistically significant (P < 0.05). The incidence of complications was 7.14%, which was significantly lower than that of the control group (26.67%, P < 0.05). The number of bleeding in the anastomosis of the observational group was (0.87 ± 0.61), and the number of the outermost anastomosis was 0.95 ± 0.49, which was significantly lower than that of the control group (P

Published
1970

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