Endoscopic treatment of bleeding peptic ulcer

Journal of Gastroenterology and Hepatology
P Wara

Abstract

Several endoscopic modalities have the potential of controlling major, life-threatening ulcer bleeding. Although none of the modalities has emerged to be more efficacious than the other, current evidence favours thermal methods and injection therapy. When successful, the endoscopic methods are equally safe (associated with a risk of perforation less than 2%), although a rebleeding rate of 10-30% is of concern. Endoscopic therapy is in general operator-dependent, and the experience of a team is probably more important than the choice of equipment. Selection of patients for endoscopic therapy should be based on the identification of high-risk patients who tolerate rebleeding or surgery poorly, and high-risk lesions likely to rebleed. Endoscopic therapy for ulcer bleeding is simply a new way of applying surgery. Realizing this, it is difficult to understand why therapeutic endoscopy for bleeding ulcer has not yet been widely adopted by surgeons.

References

Jan 1, 1979·American Journal of Surgery·W D Gaisford
Mar 1, 1989·The British Journal of Surgery·R J Steele
Mar 1, 1989·World Journal of Surgery·K NakagawaT Sato
Jun 1, 1989·The British Journal of Surgery·G M FullartonW R Murray
Jan 1, 1986·Gastroenterology·D Fleischer
Aug 1, 1987·Gastrointestinal Endoscopy·N S Nishioka, J M Richter
Jun 1, 1987·Gastrointestinal Endoscopy·Y KuyamaT Ohkusa
Oct 1, 1986·The British Journal of Surgery·S D BlairR M Greenhalgh
Feb 1, 1987·Gastrointestinal Endoscopy·N H GilinskyM Payne
Apr 1, 1987·Gastrointestinal Endoscopy·J W Leung, S C Chung
Jun 1, 1987·World Journal of Surgery·P S Hunt
Jun 1, 1987·World Journal of Surgery·B H Laurence, P B Cotton
Oct 1, 1987·Gut·D K BhasinS K Mehta
Sep 1, 1985·Endoscopy·S BrearleyM R Keighley
Mar 1, 1986·Gastroenterology·C P SwainJ P O'Sullivan
Oct 1, 1967·The Surgical Clinics of North America·A S KetchamG C Riggle
Jul 1, 1967·Archives of Surgery·B Sigel, F L Hatke
Nov 1, 1984·The British Journal of Surgery·R M KernohanT L Kennedy

❮ Previous
Next ❯

Citations

Jun 3, 2000·Gastroenterology Clinics of North America·U Beejay, M M Wolfe
Jun 3, 2000·Gastroenterology Clinics of North America·H HussainM S Cappell
Aug 18, 2009·Journal of Gastroenterology and Hepatology·Gul JavidMushtaq Ahmad Khan
Jan 1, 1996·Scandinavian Journal of Gastroenterology. Supplement·D Andersen, P Wara
Jan 20, 2010·Journal of Physics. Condensed Matter : an Institute of Physics Journal·Javier Fernández-RodríguezJesús A Blanco
Oct 1, 1998·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hiroaki IwaseOsamu Maeda
Apr 1, 1991·Journal of the American Geriatrics Society·D K MillerG A Ireland
Jul 1, 1991·Gastroenterologia Japonica·A AroraB N Tandon

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.