Endoscopic Management of Acute Peptic Ulcer Bleeding

Causes and Management of Gastric and Duodenal Ulcer in Adolescents

“…Injection, heat, and mechanical techniques of endoscopic therapy have historically been used. Endoscopic topical hemostatic powders have recently been available on the market [54]. However, several national audits have shown that the percentage of patients getting dual treatment for significant stigmata of hemorrhages is as low as 34% in Canada, 35% in Italy, and 38% in the United Kingdom [55], (Barkun et al 2004).…”

What is in a name? Gastro-Duodenal Artery or Gastro-Duodeno-Pancreatic Trunk

“…This bleed is usually controlled endoscopically using adrenaline, sclerosants, clips, etc. [2]. Endoscopic failures can be treated with angioembolization of GDA [3] or surgically [4].…”

Second-Look Endoscopy after Endoscopic Submucosal Dissection: Can We Obtain Valuable Information?

“…Endoscopic findings of peptic ulcer bleeding, including active or recent hemorrhage, are classified by using the Forrest classification [ 8 ], a well-known and useful tool for evaluating and predicting the risk of recurrent bleeding following endoscopic hemostasis [ 9 ]. Peptic ulcers with a Forrest classification from Ia (spurting arterial vessel) to IIb (adherent clot) are more likely to rebleed after initial hemostasis; endoscopic hemostasis during the first endoscopy is recommended to prevent rebleeding from these lesions [ 10 , 11 ], In addition, second-look endoscopy (SLE) is reported as useful in preventing rebleeding in patients with high-risk peptic ulcer bleeding [ 12 , 13 ], Therefore, to evaluate post-ESD bleeding and achieve hemostasis of high-risk lesions, SLE is commonly performed in many hospitals after ESD. However, the use of SLE after ESD is still controversial.…”