Prediction of mortality at endoscopy in bleeding peptic ulcer disease.

Abstract:

:One hundred and forty two patients with bleeding peptic ulcers underwent emergency endoscopy. Seventy six had endoscopic stigmata of haemorrhage and nine subsequently died. There were no deaths amongst sixty six patients without stigmata (p less than 0.02). Patients with stigmata were also significantly more likely to experience further bleeding (p less than 0.001) and to require emergency operations (p less than 0.01). Excess risk attached to those with bleeding at the time of endoscopy and those with visible vessels or clot adherent to the ulcer but not to patients with staining of the ulcer base. Patients without stigmata or with staining alone should be managed conservatively. Clinical trials in bleeding peptic ulcer disease should only include patients in the high risk group.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Brearley S,Morris DL,Hawker PC,Dykes PW,Keighley MR

doi

10.1055/s-2007-1018493

subject

Has Abstract

pub_date

1985-09-01 00:00:00

pages

173-4

issue

5

eissn

0013-726X

issn

1438-8812

journal_volume

17

pub_type

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