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[Ulcer hemorrhage: is aggressive surgical therapy still defensible?]
C P Schröders1, H Glutig, T Frieling
1Klinik für Allgemeine und Unfallchirurgie, Heinrich-Heine-Universität Düsseldorf.
Abstract:
A total of 155 patients admitted with Forrest 1a/2a peptic ulcer bleeding were prospectively recorded. Primarily conservatively treated patients developed recurrent bleeding in 27.4% of cases, with a mortality of 10.5% compared to 8.7% mortality after early elective surgery. In our opinion, the indication for surgery has to be reassessed in patients with Forrest 2a peptic ulcer bleeding.