Management in Peptic Ulcer Hemorrhage:A Dutch National Inquiry

Abstract

There are important differences in management of peptic ulcer hemorrhage between gastroenterologists and internists in the Netherlands. Management is only partly in accordance with evidence-based medicine.

Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary

“…Similar surveys were performed previously in the Netherlands, France, and recently in Germany with the response rates of 73%, 34%, and 49%, respectively, positioning our survey with a 71% response rate in between these other surveys [15–17]. …”

Medical and Endoscopic Treatment in Peptic Ulcer Bleeding: a National German Survey

“…In the meantime, new meta-analyses have revealed in some cases new results compared to former recommendations, e. g., in Forrest IIb ulcers [16,17]. Similar surveys like the underlying inquiry were performed previously in the Netherlands and in France [12,18] with substantial differences in the response rates of 73 % and 34%, respectively, leaving our survey with 49 % in between. Although the questions of the surveys differed to some extent, our results show in comparison a general change of therapy, but also weaknesses in the penetration of guidelines.…”

Can Endoscopic Injection of Epinephrine Prevent Surgery in Gastroduodenal Ulcer Bleeding? An Analysis of 107 Cases

“…29 Sacks et al reported that the recurrent bleeding rate was 45% in patients with bleeding peptic ulcers who received only medical treatment; this rate decreased to 21% when endoscopic hemostatic procedures were applied. 30 It is possible to lower the recurrent bleeding rate by using acid suppression together with secondlook endoscopy after 24 hours.…”