[Gastroduodenal hemorrhage]

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
05:30

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

J Simo1, P Matis, M Vician

  • 1I. chirurgická klinika FN, Bratislava, Slovenská republika.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|October 19, 2000
PubMed

Insights

Urgent endoscopy is crucial for peptic ulcer bleeding, identifying gastric and duodenal ulcers. Endoscopic hemostasis is effective, but surgery is reserved for refractory or recurrent bleeding cases.

Area of Science:

  • Gastroenterology
  • Surgical Endoscopy

Context:

  • Peptic ulcer disease frequently leads to serious hemorrhage.
  • Urgent diagnostic and therapeutic endoscopy is the primary treatment modality.

Purpose:

  • To evaluate the outcomes of urgent endoscopy for gastroduodenal peptic ulcer bleeding.
  • To analyze patient demographics, ulcer types, bleeding severity, and treatment interventions.

Summary:

  • A retrospective study of 291 patients (195 male, 96 female) with peptic ulcer bleeding undergoing urgent endoscopy.
  • Gastric ulcers found in 34.7%, duodenal ulcers in 65.3%. Forrest classifications: I (23%), II (25.7%), III (51.3%).
  • Endoscopic hemostasis applied in 12.37%; 82.9% experienced a first hemorrhage, 17.1% recurrent. Surgical intervention was required in 6.52% for uncontrolled or recurrent bleeding.

Impact:

  • Highlights the efficacy of urgent endoscopy in managing peptic ulcer hemorrhage.
  • Provides data on ulcer distribution and bleeding stigmata, guiding clinical decision-making.
  • Underscores the role of endoscopic hemostasis and criteria for surgical referral.

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