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Titolo:
Surgical therapy for peptic ulcer and nonvariceal bleeding
Autore:
Schoenberg, MH;
Indirizzi:
Red Cross Hosp, Dept Surg, D-80634 Munich, Germany Red Cross Hosp MunichGermany D-80634 Dept Surg, D-80634 Munich, Germany
Titolo Testata:
LANGENBECKS ARCHIVES OF SURGERY
fascicolo: 2, volume: 386, anno: 2001,
pagine: 98 - 103
SICI:
1435-2443(200103)386:2<98:STFPUA>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER GASTROINTESTINAL HEMORRHAGE; ENDOSCOPIC HEMOSTASIS; GASTRODUODENAL ULCERS; PROGNOSTIC FACTORS; RANDOMIZED TRIAL; RISK-FACTORS; MORTALITY; SURGERY; OPERATION; INJECTION;
Keywords:
upper gastrointestinal bleeding; peptic ulcer; surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Schoenberg, MH Red Cross Hosp, Dept Surg, Nymphenburger Str 163, D-80634 Munich, Germany Red Cross Hosp Nymphenburger Str 163 Munich Germany D-80634
Citazione:
M.H. Schoenberg, "Surgical therapy for peptic ulcer and nonvariceal bleeding", LANG ARCH S, 386(2), 2001, pp. 98-103

Abstract

Wider use of endoscopic hemostasis in upper gastrointestinal bleeding (UGIB) has reduced significantly the: need for operation. Nevertheless, surgerystill plays a pivotal role. Failure to control bleeding endoscopically should not delay surgery when necessary, and a close cooperation between endoscopists and surgeons is essential. Initial endoscopy ton thr bleeding in approximately 94% of patients and helps to identify, these patients with a high or low risk of rebleeding. High-risk patients should be examined for rebleeding by clinical and endoscopic assessment within at least the first 2-3days. Large ulcers are the most likely to rebleed, and in elderly patientswith severe comorbidity showing little or no healing tendency, they benefit from repeated fibrin glue treatment. Tn cases of rebleeding despite initial endoscopic hemostasis and conservative treatment. another attempt to stop the hemorrhage endoscopically is justified in most patients. A subgroup of patients who are old, suffering from hypotension due to rebleeding, with large ulcers and several other illnesses should undergo surgery immediatelybecause endoscopic intervention often fails, and these patients deteriorate quickly. The surgical procedure should be limited to safe hemostasis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 14:25:27