Peptic ulcer bleeding: medical and surgical point of view

✍ Scribed by Thong, K. ;Ohmann, C. ;Hengels, K.J. ;Imhof, M. ;R�her, H.-D. ;,

• Publisher: Springer-Verlag
• Year: 1992
• Tongue: English
• Weight: 892 KB
• Volume: 70
• Category: Article
• ISSN: 1432-1440
• DOI: 10.1007/bf00184544

✦ Synopsis

Various treatment policies and clinical disciplines compete for the treatment of bleeding peptic ulcer. In a prospective multicenter and interdisciplinary study performed during a 1-year period at ten hospitals in Diisseldorf, all patients admitted for peptic ulcer bleeding were recorded. The characteristics of patients admitted to surgical and to medical departments, the distribution of endoscopic treatment, indications for surgery, type of surgical procedures, and outcome were investigated. In the study period 387 bleeding peptic ulcers were recorded. Of these patients 82% were primarily admitted to medical and 18% to surgical departments. No differences in terms of severity of ulcer disease or bleeding activity were noted between the groups of medical and surgical patients. However, accompanying or underlying diseases were detected more often in patients admitted to medical departments. Endoscopy treatment was performed in the majority of patients with arterial spurting bleeding (88%) or a visible vessel (80%).