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Titolo:
Planned second look endoscopy in patients with bleeding duodenal or gastric ulcers
Autore:
Trap, R; Skarbye, M; Rosenberg, J;
Indirizzi:
HS Hvidovre Hosp, Dept Surg Gastroenterol, DK-2650 Hvidovre, Denmark HS Hvidovre Hosp Hvidovre Denmark DK-2650 rol, DK-2650 Hvidovre, Denmark
Titolo Testata:
DANISH MEDICAL BULLETIN
fascicolo: 3, volume: 47, anno: 2000,
pagine: 220 - 223
SICI:
0907-8916(200006)47:3<220:PSLEIP>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER GASTROINTESTINAL HEMORRHAGE; PEPTIC-ULCERS; RANDOMIZED TRIAL; INJECTION THERAPY; SCORING SYSTEM; RISK-FACTORS; RETREATMENT; HEMOSTASIS; VALIDATION; STIGMATA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Trap, R Brydegaardsvej 26, DK-2760 Malov, Denmark Brydegaardsvej 26 Malov Denmark DK-2760 , DK-2760 Malov, Denmark
Citazione:
R. Trap et al., "Planned second look endoscopy in patients with bleeding duodenal or gastric ulcers", DAN MED B, 47(3), 2000, pp. 220-223

Abstract

Introduction: Preliminary studies have suggested a beneficial effect of second look endoscopy in patients with bleeding peptic ulcers. Methodology: We have performed a retrospective survey of seventy patients with bleeding peptic ulcers admitted to our unit in the period 1 September 1996-31 March 1998. Planned second look endoscopy and repeated sclerotherapy were standard care. The effects were evaluated by comparing the expected number of rebleeders with actual rebleeders. At the same time we assessed predicting factors for rebleeding. Results: Fifteen of the admitted seventy patients were found to rebleed after initial sclerotherapy. The overall success rate of endoscopic therapy was 63/70 patients (90%). Six patients (9%) had to undergo surgery to obtainhaemostasis, and one patient died suddenly after the second endoscopic sclerotherapy. Perforation was seen in two patients (3%) and the total mortality (30 days) was 4% (three patients). The most important factor predicting rebleeding was the occurrence of active bleeding at the initial endoscopy. Conclusion: From the literature we could expect that twenty to twenty-fivepatients would rebleed, comparing this with the findings of the present study suggests a beneficial effect on rebleeding rate of patients treated with planned second look endoscopy. Future controlled trails should verify this hypothesis.

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Documento generato il 29/03/20 alle ore 08:23:40