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: P Rutgeerts
Format: Article
Language:English
Published: Wiley 1990-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1990/187323
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author P Rutgeerts
author_facet P Rutgeerts
author_sort P Rutgeerts
collection DOAJ
description 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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institution Kabale University
issn 0835-7900
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publishDate 1990-01-01
publisher Wiley
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series Canadian Journal of Gastroenterology
spelling doaj-art-e6549064b3a8442a88872c7958c140392025-08-20T03:26:04ZengWileyCanadian Journal of Gastroenterology0835-79001990-01-014964764910.1155/1990/187323Approach to Upper Gastrointestinal Bleeding - When to Treat?P RutgeertsUpper 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.http://dx.doi.org/10.1155/1990/187323
spellingShingle P Rutgeerts
Approach to Upper Gastrointestinal Bleeding - When to Treat?
Canadian Journal of Gastroenterology
title Approach to Upper Gastrointestinal Bleeding - When to Treat?
title_full Approach to Upper Gastrointestinal Bleeding - When to Treat?
title_fullStr Approach to Upper Gastrointestinal Bleeding - When to Treat?
title_full_unstemmed Approach to Upper Gastrointestinal Bleeding - When to Treat?
title_short Approach to Upper Gastrointestinal Bleeding - When to Treat?
title_sort approach to upper gastrointestinal bleeding when to treat
url http://dx.doi.org/10.1155/1990/187323
work_keys_str_mv AT prutgeerts approachtouppergastrointestinalbleedingwhentotreat