Injection adrenaline plus Heater probe coagulation or Injection adrenaline plus Argon plasma coagulation in nonvariceal upper gastrointestinal bleeding

Abstract

Aim: To compare the effectiveness of Injection adrenaline plus Heater probe coagulation versus Injection adrenaline plus Argon plasma coagulation in the management of non variceal upper gastrointestinal bleeding.Methods: 115 patients admitted with gastrointestinal bleeding due to gastric, duodenal and stoma ulcers were included in the study. Upper endoscopy was performed and injection adrenaline plus HPC (group A) and injection adrenaline plus APC (group B) were chosen randomly to achieve hemostasis. Initial hemostasis and rebleeding rates were primary and secondary endpoints of this study. Results: Initial hemostasis was achieved in 96.6% (57/59) of group A and 96.4% (54/56) of group B patients. Among group A 7% (4/57) cases had rebleed while in group B only 1.9% (1/54) had rebleed after upper GI endoscopy within 72 hours of observation within hospital stay.Conclusion: Both methods are almost equally effective in achieving hemostasis and preventing future risk of rebleed in nonvariceal upper GI bleed.