Approach to Upper Gastrointestinal Bleeding - When to Treat?
Upper gastrointestinal bleeding from peptic ulcer is a life threatening emergency. Clinical risk factors for fatal outcome have been defined, and endoscopic predictors for rebleeding have been identified. Active ulcer bleeding at endoscopy carries an 80% chance of persistent or recurrent bleeding. A...
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| Main Author: | |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
1990-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1990/187323 |
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| Summary: | Upper gastrointestinal bleeding from peptic ulcer is a life
threatening emergency. Clinical risk factors for fatal outcome have been defined,
and endoscopic predictors for rebleeding have been identified. Active ulcer
bleeding at endoscopy carries an 80% chance of persistent or recurrent bleeding.
A non bleeding visible vessel is associated with a 50% chance of rebleeding. These
endoscopic lesions should be treated endoscopically. Failure to obtain definitive
hemostasis endoscopically will necessitate emergency surgical treatment. |
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| ISSN: | 0835-7900 |