Application of endoscopic hemoclips for nonvariceal upper gastrointestinal bleeding in children

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dc.contributor.authorÜnal, Fatih
dc.contributor.authorÇakır, Murat
dc.contributor.authorBaran, Maşallah
dc.contributor.authorDuygulu, Şengül
dc.contributor.authorAydoğdu, Sema
dc.date.accessioned2020-12-01T12:25:36Z
dc.date.available2020-12-01T12:25:36Z
dc.date.issued2014
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground/Aims: Data about the efficiency and outcome of therapeutic endoscopic techniques in children with nonvariceal upper gastrointestinal bleeding (UGB) are scarce. We aimed to analyze our experience with endoscopic hemoclip application in children with non-variceal UGB.Materials and Methods: During a 3-year period, a total of 1715 endoscopies were performed in our pediatric endoscopy unit; 182 (10.6%) of them were performed for UGB to 158 patients. Fifty-six of them had emergent endoscopy. Among them, 15 cases with nonvariceal UGB were only given endoscopic hemoclips. Demographic, clinical, and laboratory findings at initial admission; endoscopic appearance of bleeding lesions; and outcome of hemoclip application were recorded from the hospital files and endoscopy records.Results: Ten patients (66.6%) had gastric ulcer, 3 (20%) had duodenal ulcer, 1 (6.7%) had Dieulafoy lesion, and 1 (6.7%) had bleeding at the post-polypectomy site. Initial homeostasis after hemoclip application was achieved in all patients (100%). Rebleeding was seen in only one patient (6.5%) with a Dieulafoy lesion, who needed hemoclip application for a second time, and the bleeding was controlled successfully. Permanent hemostasis was 100%. the median number of hemoclips used per case and per application was 3.4 and 3.2, respectively. None of the patients experienced any complication related to hemoclip application. Median duration of hospitalization was 6 days. on follow-up, none of the patients received surgical therapy, and 30-d mortality related to bleeding was 0%.Conclusion: the use of hemoclips for nonvariceal UGB in children is an effective modality to control bleeding without any complications in children.en_US
dc.identifier.endpage151en_US
dc.identifier.issn1300-4948
dc.identifier.issn2148-5607
dc.identifier.issue2en_US
dc.identifier.startpage147en_US
dc.identifier.urihttps://app.trdizin.gov.tr//makale/TWpJeU1qRTBOQT09
dc.identifier.urihttps://hdl.handle.net/11454/65341
dc.identifier.volume25en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofTurkish Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCerrahien_US
dc.titleApplication of endoscopic hemoclips for nonvariceal upper gastrointestinal bleeding in childrenen_US
dc.typeArticleen_US

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