KẾT QUẢ CỦA KẸP CẦM MÁU COAGRASPER TRONG ĐIỀU TRỊ XUẤT HUYẾT TIÊU HÓA DO LOÉT DẠ DÀY TÁ TRÀNG TẠI TRUNG TÂM TIÊU HÓA BỆNH VIỆN BẠCH MAI

Abstract

Study evaluating the results of coagrasper hemostatic forceps in the treatment of GI bleeding due to gastric and duodenal ulcers at the Digestive Center of Bach Mai Hospital. Descriptive, retrospective study combined with a prospective study on 126 patients. The results showed that 112 patients (88.9%) had successful initial hemostasis and 14 patients (11.1%) had recurrent bleeding within 3 days, 11 patients had successful hemostasis in the second phase, and 3 patients had hemostasis. The third bleeding was successfully stopped, no patient required radiological intervention or surgery or died. 70.6% of patients needed blood transfusion during treatment. Subjects with Forrest Ib, IIa, IIb classification have a higher success rate than type Ia, subjects using COA alone have a higher success rate than those using TCM+COA and subjects with ulcer size small children have a higher success rate (p<0.05). Hemostasis using the coagrasper method is effective and safe in the treatment of bleeding caused by gastric and duodenal ulcers.