Special units for acute upper gastrointestinal bleeding.

Murray, W R; Birnie, G. G.

doi:10.1136/bmj.295.6589.51-c

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Mortality in electively operated patients was 9% and in patients operated on as immediate emergencies 0% (under 12 h). Agreed interdisciplinary and evaluated therapeutic concepts are needed, since the majority of patients with peptic ulcer bleeding are treated in medical departments [1,5,6,11,16,28]. Numerous studies investigating this problem have established that endoscopic bleeding activity is the major prognostic risk factor, predicting recurrence rates of 50%-100% in arterial bleeding and visible vessel [9,24].…”

Section: Discussionmentioning

confidence: 99%

Peptic ulcer bleeding: medical and surgical point of view

et al. 1992

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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%). Injection therapy with epinephrine or polidocanol Abbrev&tions: DfQSUKI = Dfisseldorf study of ulcer bleeding; GI = gastrointestinal; SPV = selective proximal vagotomy; TV = truncal vagotomy; S = surgery; I = internal medicine; GP = physicians in general practice; Uni = Heinrich-Heine-University, Dfisseldorf

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