RESUMO
Gastrointestinal bleeding accounts for 2% of all adult hospital admissions each year. Vascular ectasia is one of the most frequently reported cause of lower gastrointestinal bleeding. In almost 80% of patients with bleeding vascular ectasia will stop spontaneously, but will often recur. Many treatments are proposed like superselective catheterization with infusion of vasoconstrictor by angiography, Laser photocoagulation, heater probe, bipolar electrocoagulation, hot biopsy forceps, have been used in colonoscopy, but some effects are short-lived others are so expensive and without an effective treatment. The authors present one case of bleeding vascular ectasia during colonoscopy submitted to a new, cheap and effective approach with injection a 1:10,000 solution of epinephrine following electrocoagulation by colonoscopy.
Assuntos
Doenças do Colo/terapia , Eletrocoagulação , Epinefrina/uso terapêutico , Hemorragia Gastrointestinal/terapia , Doenças Vasculares/terapia , Vasoconstritores/uso terapêutico , Idoso , Doenças do Colo/complicações , Colonoscopia , Dilatação Patológica/complicações , Dilatação Patológica/terapia , Eletrocoagulação/métodos , Hemorragia Gastrointestinal/etiologia , Humanos , Masculino , Telangiectasia/complicações , Doenças Vasculares/complicaçõesRESUMO
A new endoscopic method for performing endoscopic sphincterotomy is described. Only after correct positioning of the papillotomy device has been ascertained can papillotomy be carried out. We have used ultra-sonographic examination to confirm the correct placement of the papillotomy device. This technique was first employed on a pregnant patient in 6-13-1988. After that we performed this procedure in another twelve patients. We believe it is an easy procedure and perhaps may be used for all patients with common bile duct stones of less than 1.2 cm of diameter without other bilio-pancreatic pathological condition.
Assuntos
Ampola Hepatopancreática/cirurgia , Endoscopia do Sistema Digestório/métodos , Cálculos Biliares/cirurgia , Complicações na Gravidez/cirurgia , Adulto , Ampola Hepatopancreática/diagnóstico por imagem , Feminino , Cálculos Biliares/diagnóstico por imagem , Humanos , Gravidez , Complicações na Gravidez/diagnóstico por imagem , UltrassonografiaRESUMO
Os autores apresentam três casos de papilotomia endoscópica descendente (através do dreno em T), com a utilizaçäo (técnica dos autores) ou näo (técnica de Wurbs) de cateter com controle proximal. Esta técnica pareceu aos autores extremamente simples e de fácil execuçäo