Endoscopic treatment options in peptic ulcer bleeding

Frederik Elbke Hansen, Magnus Ploug, Gitte Maria Jørgensen, John Gásdal Karstensen, Ove B.Schaffalitzky de Muckadell, Stig Borbjerg Laursen

Abstract

This review evaluates the evidence for the use of over-the-scope clips (OTSC), topical haemostatic agents (THA), and prophylactic embolisation (PE) in patients with peptic ulcer bleeding (PUB). The use of OTSC and THA may have the potential to increase the rate of endoscopic haemostasis in PUB not responding to conventional endoscopic treatment. In patients at high risk of recurrent bleeding, the performance of PE after achieving endoscopic haemostasis can reduce the risk of rebleeding and the need for surgery. Implementation of a local treatment protocol including these modalities may improve patient outcomes.

Bidragets oversatte titelNot Available
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind186
Udgave nummer35
ISSN0041-5782
DOI
StatusUdgivet - 26 aug. 2024

Emneord

  • Humans
  • Peptic Ulcer Hemorrhage/therapy
  • Hemostasis, Endoscopic/methods
  • Embolization, Therapeutic/methods
  • Hemostatics/therapeutic use
  • Surgical Instruments

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