Endoscopic Management of Peptic Ulcer Bleeding: Recent Advances
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Bleeding peptic ulcers remained as one of the commonest causes of hospitalization worldwide. While endoscopic hemostasis serves asprimary treatment for bleeding ulcers, rebleeding after endoscopic hemostasis becomes more and more diffcult to manage as patientsare usually poor surgical candidates with multiple comorbidities. Recent advances in management of bleeding peptic ulcers aimed tofurther reduce the rate of rebleeding through—(1) identification of high risk patients for rebleeding and mortality; (2) improvement inprimary endoscopic hemostasis and; (3) prophylactic angiographic embolization of major arteries. The technique and clinical evidencesfor these approaches will be reviewed in the current article.
Abstract
Bleeding peptic ulcers remained as one of the commonest causes of hospitalization worldwide. While endoscopic hemostasis serves asprimary treatment for bleeding ulcers, rebleeding after endoscopic hemostasis becomes more and more diffcult to manage as patientsare usually poor surgical candidates with multiple comorbidities. Recent advances in management of bleeding peptic ulcers aimed tofurther reduce the rate of rebleeding through—(1) identification of high risk patients for rebleeding and mortality; (2) improvement inprimary endoscopic hemostasis and; (3) prophylactic angiographic embolization of major arteries. The technique and clinical evidencesfor these approaches will be reviewed in the current article.
참고문헌 (22)
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