BACKGROUND/AIMS: To examine the efficacy of prospectively performing endoscopic hemoclipping in @entity1 with severe @entity360 by assessing in relation to the severity of the case. METHODOLOGY: Endoscopic hemoclipping was performed in 44 @entity1 in shock caused by severe @entity360 . The level of severity was categorized using two factors. One factor was the presence or absence of severe shock, and the other was the presence or absence of active @entity548 at endoscopy. Age, blood transfusion volume, APACHE III score, @entity1003 , initial hemostatic, rebleeding and mortality rate were recorded in relation to those four subsets. If rebleeding occurred, the systolic blood pressure, heart rate and serum hemoglobin concentration were compared between the initial time of @entity548 and rebleeding. RESULTS: Initial hemostasis was successfully achieved in all cases. The severe shock group required significantly more blood transfusions. The most severe subset had the highest APACHE III score, and @entity1003 . Rebleeding occurred in seven cases in the severe shock group only. In the rebleeding group, the systolic body pressure was lower, heart rate was higher, and serum hemoglobin concentration was lower than the non-rebleeding group. Four @entity1 , all in subset 1, died, but no @entity1 died due to @entity360 . CONCLUSIONS: The endoscopic hemoclipping method is very effective for severe @entity360 in shock. The severity of shock was a more important risk factor than the presence of active @entity548 . Our category of severity is simple, it reflects the @entity1 ' clinical condition accurately, and is very useful for @entity1 with @entity360 .

Efficacy of endoscopic hemoclipping for XXXX in relation to severity of shock.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity360 :: ('MESH:D006471', 'Disease') :: ['gastrointestinal bleeding'] @entity1003 :: ('MESH:D001778', 'Disease') :: ['coagulopathy'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding']
@entity548 :: (MESH:D006470,Disease) :: ['GI bleeding']
