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AUTHOR'S REPLY
Author(s) -
Vassilis Valatas
Publication year - 1994
Publication title -
groundwater
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.84
H-Index - 94
eISSN - 1745-6584
pISSN - 0017-467X
DOI - 10.1111/j.1745-6584.1994.tb00946.x
Subject(s) - citation , computer science , information retrieval , library science
Dr P. Katsinelos' letter contributes substantially to the discussion on the safety of injection sclerotherapy for peptic ulcer bleeding. Although sclerosant-induced vascular thrombosis can lead to wall necrosis and free perforation, previously published series as well as our study, do not report any occurrence of free perforation with the use of ethanolamine [1-3]. In our Department, one perforation has occurred after the completion of more than 200 procedures. This case was a second attempt to treat recurrent bleeding from a large duodenal ulcer with increased volumes of ethanolamine. Thus we could advise against the use of large ethanolamine volumes (>2 mL) for hemostasis of duodenal ulcers. Taken together, the above data indicate that perforation probably occurs in much lower frequencies than the 3-4%, reported