Application of endoscopic purse-string sutures in refractory nonvariceal GI bleeding: a multicenter study (with video)

IF 6.7 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Gastrointestinal endoscopy Pub Date : 2025-02-01 DOI:10.1016/j.gie.2024.09.020

Feifan Chen MD , Yifan Jia MD , Ling Xiao MD , Li Yang MD , Jinlin Yang MD , Jianmei Zeng MD , Limao Xu MD , Xue Xiao MD, PhD

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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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在难治性非静脉曲张性消化道出血中应用内窥镜荷包缝合术：一项多中心研究（附视频）。

背景和目的：非静脉曲张性消化道出血是一种常见的急症。建议使用内镜止血，但一些患者在常规内镜止血后会再次出血。最初，在内镜粘膜切除术（EMR）中使用荷包线缝合（PSS）来缝合病灶。我们的目的是了解内镜下荷包缝合术是否能有效控制难治性出血：我们回顾性地收集了 3 家医院接受内镜下 PSS 治疗难治性非静脉曲张性消化道出血患者的数据。临床成功定义为无复发性出血，患者遵医嘱出院：从2017年10月至2024年5月，共纳入36例接受PSS治疗的患者。83.3%（30/36）的患者取得了临床成功。难治性上消化道出血患者的临床成功率为81.25%（26/32），下消化道出血患者的临床成功率为100%（4/4）：结论：内镜 PSS 可有效治疗难治性非静脉曲张性消化道出血。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gastrointestinal endoscopy 医学-胃肠肝病学

CiteScore

10.30

自引率

7.80%

发文量

1441

审稿时长

38 days

期刊介绍： Gastrointestinal Endoscopy is a journal publishing original, peer-reviewed articles on endoscopic procedures for studying, diagnosing, and treating digestive diseases. It covers outcomes research, prospective studies, and controlled trials of new endoscopic instruments and treatment methods. The online features include full-text articles, video and audio clips, and MEDLINE links. The journal serves as an international forum for the latest developments in the specialty, offering challenging reports from authorities worldwide. It also publishes abstracts of significant articles from other clinical publications, accompanied by expert commentaries.

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