Surgery in bleeding peptic ulcers.
نویسندگان
چکیده
This paper records a study of 400 patients admitted for haematemesis and melaena. Emergency surgery was undertaken on selected patients but the overall mortality increased when more frequent emergency operations were performed in the latter half of the series.
منابع مشابه
A comparison of omeprazole and placebo for bleeding peptic ulcer.
BACKGROUND The role of medical treatment for patients with bleeding peptic ulcers is uncertain. METHODS We conducted a double-blind, placebo-controlled trial in 220 patients with duodenal, gastric, or stomal ulcers and signs of recent bleeding, as confirmed by endoscopy. In 26 patients the ulcers showed arterial spurting, in 34 there was active oozing, in 35 there were nonbleeding, visible ve...
متن کاملEndoscopic treatment for high-risk bleeding peptic ulcers: a comparison of epinephrine alone with epinephrine plus ethanolamine
BACKGROUND Among the various methods of combined endoscopic therapy for high-risk bleeding peptic ulcers the use of adrenaline followed by injection of ethanolamine is minimally demanding in terms of the endoscopic skills and instrumentation but has not been adequately studied. The aim of the present study is to determine whether the injection of ethanolamine in combination with epinephrine com...
متن کاملEndoscopic treatment of high-risk bleeding ulcers: success, rebleeding and mortality.
INTRODUCTION AND AIMS Endoscopic treatment of peptic ulcers with high-risk stigmata has been probed. The rates of recurrent bleeding, need for emergent surgery and death are related to Forrest Classification, Blatchford's modified risk score and the kind of endoscopic treatment used (monotherapy vs. dual). The aims of the present study were to report the success of endoscopic therapy in the red...
متن کاملبررسی عوامل خطرساز خون ریزی از زخم های پپتیک
Background and purpose : The objective of this study was to evaluate the role of several risk factors in upper gastrointestinal bleeding (ÜGÏB) from peptic ulcers. Materials and methods : Patients with acute ÜGÏB due to peptic ulcers and control patients with peptic ulcer disease without bleeding were enrolled. Üpper GÏ endoscopy and rapid urease test for evaluation of Helicobacter pylori ...
متن کاملEndoscopic Obliteration for Bleeding Peptic Ulcer
A group of 133 patients treated for bleeding peptic ulcer in our Department, is reviewed. Within several hours of admission, all patients underwent upper gastrointestinal tract gastroscopy and obliteration of the bleeding ulcer. Bleeding gastric ulcers were found in 41 patients, and duodenal ulcers in 92 patients. Patients were classified according to the Forrest scale: IA - 11 patients, IB - 4...
متن کاملUnusual complications of oesophageal ulcers.
Bleeding peptic ulcers of the oesophagus account for about 4% of admissions for acute upper gastrointestinal bleeding.1"2 Further bleeding during the same admission will occur in one-third of these patients.2 After resuscitation, patients should be given intensive anti-reflux treatment. The ulcer should be biopsied, although carcinoma rarely presents with acute bleeding.1'2 Recurrent bleeding o...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Gut
دوره 1 شماره
صفحات -
تاریخ انتشار 1960