A scheduled second endoscopy 16 to 24 hours after initial endoscopic hemostasis reduced recurrent peptic ulcer bleeding: COMMENTARY

Howden, Colin W.
January 2004
ACP Journal Club;Jan/Feb2004, Vol. 140 Issue 1, p11
Academic Journal
This article focuses on a study regarding the effect of scheduled second therapeutic endoscopy on peptic ulcer rebleeding, published in the 2003 issue of the journal "Gut." In the author's opinion, only a few patients with ulcer bleeding might benefit from a planned second therapeutic endoscopy. Although the study shows a substantial reduction in rebleeding rates in the active treatment group, the absolute re-bleeding rates were quite low in both scheduled second endoscopy and control groups. It is important to note that the patients in this study received an IV proton-pump inhibitor after endoscopic therapy.


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