AI Article Synopsis
- * A study evaluated the effectiveness of the purse-string suture (PSS) technique for controlling refractory GIB by analyzing data from three hospitals.
- * Out of 36 patients treated with PSS, 83.3% achieved clinical success, with a higher success rate in lower GIB (100%) compared to upper GIB (81.25%).
Article Abstract
Background And Aims: Nonvariceal GI bleeding (GIB) is a common medical emergency. Endoscopic hemostasis is recommended, but some patients experienced recurrent bleeding after conventional endoscopic hemostasis. Originally, the purse-string suture (PSS) was used for lesion closure during EMR. Here, we evaluated the effectiveness of the endoscopic PSS in controlling refractory bleeding.
Methods: We retrospectively collected data from 3 hospitals of patients who underwent endoscopic PSS for refractory nonvariceal GIB. Clinical success was defined as no recurrent bleeding, and patients were discharged according to medical advice.
Results: From October 2017 to May 2024, 36 patients who received PSS treatments were included. Of these 36 patients, 83.3% (30) achieved clinical success. In refractory upper GIB, the clinical success rate was 81.25% (26/32), and in lower GIB, the clinical success rate was 100% (4/4).
Conclusions: The endoscopic PSS is effective in treating refractory nonvariceal GIB.
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| http://dx.doi.org/10.1016/j.gie.2024.09.020 | DOI Listing |
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