The Application of Hemospray in Gastrointestinal Bleeding during Emergency Endoscopy

Hagel A, Albrecht H, Naegel A, Vitali F, Vetter M, Dauth C, Neurath M, Raithel M (2017)

Publication Type: Journal article

Publication year: 2017

Journal

Gastroenterology Research and Practice Hindawi Publishing Corporation

Book Volume: 2017

DOI: 10.1155/2017/3083481

Abstract

Introduction . Gastrointestinal bleeding represents the main indication for emergency endoscopy (EE). Lately, several hemostatic powders have been released to facilitate EE.Methods. We evaluated all EE in which Hemospray was used as primary or salvage therapy, with regard to short- and long-term hemostasis and complications.Results. We conducted 677 EE in 474 patients (488 examinations in 344 patients were upper GI endoscopies). Hemospray was applied during 35 examinations in 27 patients (19 males), 33 during upper and 2 during lower endoscopy. It was used after previous treatment in 21 examinations (60%) and in 14 (40%) as salvage therapy. Short-term success was reached in 34 of 35 applications (97.1%), while long-term success occurred in 23 applications (65.7%). Similar long-term results were found after primary application (64,3%) or salvage therapy (66,7%). Rebleeding was found in malignant and extended ulcers. One major adverse event (2.8%) occurred with gastric perforation after Hemospray application.Discussion. Hemospray achieved short-term hemostasis in virtually all cases. The long-term effect is mainly determined by the type of bleeding source, but not whether it was applied as first line or salvage therapy. But, even in the failures, patients had benefit from hemodynamic stabilization and consecutive interventions in optimized conditions.

Authors with CRIS profile

Alexander Hagel Department of Medicine 1 – Gastroenterology, Pneumology and Endocrinology Heinz Albrecht Medizinische Fakultät Francesco Vitali Department of Medicine 1 – Gastroenterology, Pneumology and Endocrinology Marcel Vetter Department of Medicine 1 – Gastroenterology, Pneumology and Endocrinology Markus Neurath Lehrstuhl für Innere Medizin I

Involved external institutions

Waldkrankenhaus St Marien DE Germany (DE) Institut für Arbeitsmarkt- und Berufsforschung (IAB) der Bundesagentur für Arbeit (BA) DE Germany (DE)

How to cite

APA:

Hagel, A., Albrecht, H., Naegel, A., Vitali, F., Vetter, M., Dauth, C.,... Raithel, M. (2017). The Application of Hemospray in Gastrointestinal Bleeding during Emergency Endoscopy. Gastroenterology Research and Practice, 2017. https://dx.doi.org/10.1155/2017/3083481

MLA:

Hagel, Alexander, et al. "The Application of Hemospray in Gastrointestinal Bleeding during Emergency Endoscopy." Gastroenterology Research and Practice 2017 (2017).

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