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Titolo:
The role of Doppler ultrasound in gastrointestinal bleeding
Autore:
Riemann, JF; Rosenbaum, A;
Indirizzi:
Klinikum Stadt Ludwigshafen gGmbH, Dept Gastroenterol Hepatol & Diabetol, D-67063 Ludwigshafen, Germany Klinikum Stadt Ludwigshafen gGmbH Ludwigshafen Germany D-67063 , Germany
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL GASTROENTEROLOGY
fascicolo: 3, volume: 14, anno: 2000,
pagine: 495 - 504
SICI:
1521-6918(200006)14:3<495:TRODUI>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENDOSCOPIC INJECTION THERAPY; DIEULAFOYS DISEASE; VISIBLE VESSEL; PEPTIC-ULCERS; INTEROBSERVER AGREEMENT; GASTRODUODENAL ULCERS; BLOOD-FLOW; HEMORRHAGE; DIAGNOSIS; PREDICTION;
Keywords:
gastrointestinal bleeding; endoscopic Doppler ultrasound; Doppler classification; peptic ulcer; visible vessel; prognosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Riemann, JF Klinikum Stadt Ludwigshafen gGmbH, Dept Gastroenterol Hepatol & Diabetol, D-67063 Ludwigshafen, Germany Klinikum Stadt Ludwigshafen gGmbH Ludwigshafen Germany D-67063
Citazione:
J.F. Riemann e A. Rosenbaum, "The role of Doppler ultrasound in gastrointestinal bleeding", BEST PR RES, 14(3), 2000, pp. 495-504

Abstract

The management of acute gastrointestinal bleeding is the domain of endoscopy. More than half of all episodes of upper gastrointestinal bleeding are attributed to bleeding peptic ulcers, and it is important to assess the riskof recurrent bleeding and to determine the appropriate treatment. However,the visual assessment of lesions (Forrest classification) is not always accurate and shows high interobserver variability (especially for visible vessels at the ulcer base, associated with a high rate of re-bleeding). Doppler ultrasound was thus introduced, and several studies have demonstrated that, with Doppler examination, these vessels can be identified. Doppler ultrasound is also used to monitor the effects of endoscopic therapy. In a prospective randomized trial, Doppler ultrasound proved superior to the forrest classification. Treatment based on this technique resulted in significantlylower rates of re-bleeding and mortality. The Doppler classification may be able to contribute to a safer and more cost-effective management of patients with acute peptic ulcer bleeding.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 15:16:00