Upper Gastrointestinal Bleeding
Conditions
Brief summary
UI-EWD (NextBiomedical Co, Incheon, South Korea), a new hemostatic powder for endoscopic treatment of high-risk bleeding peptic ulcers and bleeding after ESD/EMR.
Detailed description
UI-EWD (Endoscopic Wound Dressing) is adhesive absorbable powder as a new hemostasis material, the therapeutic effect and safety in endoscopic application will be verified. This study has been designed to observe comparing UI-EWD versus the submucosal epinephrine injection for endoscopic hemostasis of bleeding peptic ulcers and bleeding after EMR/ESD.
Interventions
Adhesive endoscopic hemostats, powder type
endoscopic submucosal injection of epinephrine (1: 10,000)
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of bleeding peptic ulcer and active bleeding after ESD/EMR
Exclusion criteria
* Coagulation disorder (PLT \< 50\*10\^9/L, INR \> 2) * Connot stop taking the antiplatelet drug, NSAID, Anticoagulant drug, and Aspirin during endoscopic treatment and after 72h endoscopy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrent bleeding rate | 3 days | Rebleeding rate up to 3 days was obtained by clinical manifestations such as melana; decreased hemoglobin \> 2g/dL; hemodynamic instability or active bleeding from mucosal defect under endoscope. |
Countries
South Korea