Marshall and Warren Lecture 2009: Peptic Ulcer Bleeding: An expedition of 20 years from 1989-2009

: 1989 – 2009

Bleeding peptic ulcer.

crash into our textbooks of physiology and of information theory. But most thinking neurologists look askance at all cerebral diagram-makers and cartographers, whether they tell of cortical architectonics, motor homunculi, suppressor bands, or linguistic schemata. Mindful of the fate of phrenology, modern neurology has but little respect for cerebral mosaics. How then should we judge Gall to-da...

Bleeding peptic ulcer--endoscopic and pharmacological management.

Endoscopic Management of Peptic Ulcer Bleeding

Acute upper gastrointestinal bleeding is a common medical emergency around the world and the major cause is peptic ulcer bleeding. Endoscopic treatment is fundamental for the management of peptic ulcer bleeding. Despite recent advances in endoscopic treatment, mortality from peptic ulcer bleeding has still remained high. This is because the disease often occurs in elderly patients with frequent...

Management of massive peptic ulcer bleeding.

Massive bleeding from a peptic ulcer remains a challenge. A multidisciplinary team of skilled endoscopists, intensive care specialists, experienced upper gastrointestinal surgeons, and intervention radiologists all have a role to play. Endoscopy is the first-line treatment. Even with larger ulcers, endoscopic hemostasis can be achieved in the majority of cases. Surgery is clearly indicated in p...