Approach to Upper Gastrointestinal Bleeding - When to Treat? | Zendy

P. Rutgeerts | Zendy

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Approach to Upper Gastrointestinal Bleeding - When to Treat?

Author(s) -

P. Rutgeerts

Publication year - 1990

Publication title -

canadian journal of gastroenterology

Language(s) - English

Resource type - Journals

eISSN - 1916-7237

pISSN - 0835-7900

DOI - 10.1155/1990/187323

Subject(s) - medicine , upper gastrointestinal bleeding , hemostasis , endoscopy , surgery , peptic ulcer , gastrointestinal bleeding , peptic , endoscopic treatment , general surgery

Upper gastrointestinal bleeding from peptic ulcer is a lifethreatening emergency. Clinical risk factors for fatal outcome have been defined,and endoscopic predictors for rebleeding have been identified. Active ulcerbleeding at endoscopy carries an 80% chance of persistent or recurrent bleeding.A non bleeding visible vessel is associated with a 50% chance of rebleeding. Theseendoscopic lesions should be treated endoscopically. Failure to obtain definitivehemostasis endoscopically will necessitate emergency surgical treatment

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