Abstract: Objective：To investigate the clinical efficacy of endoscopic treatment for colorectal hemorrhage.
Methods：The clinical data of 104 patients with colorectal hemorrhage who were admitted to the Zhongshan Hospital of Fudan University from June 2008 to June 2011 were retrospectively analyzed. The conditions of the lesions of hemorrhage were identified directly under the endoscope. The enteric cavity was completely irrigated by 0.1% norepinephrine saline to remove the blood clots around the lesions for providing a better vision. The main hemostatic methods included hemostatic drugs, metallic hemostatic clip, argon plasma coagulation, sclerosing agent injection, and various techniques combination. Patients were followed up for 1 〖KG*9〗6 months after the treatment.
Results：Eighty four patients were diagnosed as with colorectal hemorrhage after endoscopy, 16 patients were with colorectal hemorrhage after surgery, and 4 patients were with colorectal hemorrhage caused by primary colorectal diseases. Hemostasia was successfully completed in 97 patients. Seven patients had colorectal hemorrhage recurrence within 24 hours, and hemostasia was successfully completed in 6 patients, 1 patient was converted to open surgery. The total successful rate of endoscopic hemostasis was 99.04%(103/104). The mean time of follow up was 4.2 months, and no colorectal hemorrhage recurrence was observed during the follow up.
Conclusion：Endoscopic hemostasis is safe and effective for the treatment of colorectal hemorrhage.