Endoscopic Hemostatic Forceps High-Frequency Electrocoagulation on Peptic Ulcers and Dieulafoy.

BACKGROUND

Peptic ulcers are a common cause of upper gastrointestinal bleeding. In contrast, Dieulafoy's disease is a rare cause of upper gastrointestinal bleeding. Upper gastrointestinal arterial bleeding may lead to hemorrhagic shock and threaten the patient's life. Achieving effective hemostasis in patients with upper gastrointestinal arterial bleeding remains a challenge. This study determined the efficacy of endoscopic hemostatic forceps high-frequency (HF) electrocoagulation for the treatment of upper gastrointestinal arterial bleeding caused by peptic ulcers and Dieulafoy's disease.

METHOD: A retrospective analysis was performed involving 84 patients with upper gastrointestinal arterial bleeding caused by peptic ulcers and Dieulafoy's disease. The patients underwent endoscopic HF electrocoagulation treatment at our hospital between January 2018 and December 2023. The clinical data were collected and analyzed.

RESULTS

The mean age of the 84 patients (53 men and 31 women) was 64.27 years. The main lesion sites were the duodenum (n = 37), gastric antrum (n = 28), and gastric body (n = 14). Among the 84 patients, 82 achieved hemostasis after endoscopic treatment with a success rate of 97.6%. The two patients in whom hemostasis was not achieved were treated with other methods and recovered well. The average time-to-hemostasis was 1.5 minutes. No complications, including perforation or rebleeding, occurred after treatment. During the 12-month follow period, no recurrent bleeding occurred in any of the patients.

CONCLUSION

Endoscopic hemostatic forceps HF electrocoagulation is a simple, effective, and reliable treatment for upper gastrointestinal arterial bleeding caused by peptic ulcers and Dieulafoy's disease.