Summary
A modified instrument that permits simultaneous endoscopic irrigation and sclerotherapy
of a bleeding site in the gastrointestinal tract under direct visualisation is presented.
To date, the system has been used in 12 patients. Five cases of grade III esophageal
varices have been treated and in three cases of acute bleeding, definitive arrest
of the bleeding was achieved. In seven cases of acute upper gastrointestinal hemorrhage
presenting with gastric ulcer (n = 2 Forrest-la and n = 2 Forrest-lb) and duodenal
ulcer (n = 3 Forrest-lb) bleeding was successfully stopped.
The system is easy to handle, reliable in clinical practice, can be employed anywhere
and the instrument is inexpensive.
Key words:
Sclerotherapy - Gastrointestinal bleeding
