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[Planned second-look gastroscopy in patients with bleeding ulcer].
M Skarbye1, R Trap, J Rosenberg
1H:S Hvidovre Hospital, kirurgisk gastroenterologisk afdeling.
Ugeskrift for Laeger
|July 15, 2000
Summary
Second look endoscopy may reduce rebleeding rates in patients with bleeding peptic ulcers. This study found a 90% success rate, with active bleeding at initial endoscopy being a key predictor of rebleeding.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Peptic ulcer bleeding is a significant clinical concern.
- Preliminary evidence suggests second look endoscopy may improve outcomes.
Purpose of the Study:
- To evaluate the effectiveness of planned second look endoscopy in managing bleeding peptic ulcers.
- To identify factors predicting rebleeding after endoscopic therapy.
Main Methods:
- Retrospective survey of 70 patients with bleeding peptic ulcer.
- Standard care included planned second look endoscopy and repeated sclerotherapy.
- Rebleeding rates were compared to literature data.
Main Results:
- 15 out of 70 patients (21.4%) experienced rebleeding after initial sclerotherapy.
- The overall success rate of endoscopic therapy was 90% (63/70 patients).
- Active bleeding during the initial endoscopy was the primary predictor of rebleeding.
Conclusions:
- Planned second look endoscopy appears to reduce the rebleeding rate in bleeding peptic ulcer patients.
- The findings support the hypothesis that second look endoscopy is beneficial.
- Further controlled trials are warranted to confirm these results.