Planlagt kontrolgastroskopi ved forekomst af blødningsstigmatiseret ulcus.

Preliminary studies have suggested a beneficial effect of second look endoscopy in patients with bleeding peptic ulcer. We have performed a retrospective survey of 70 patients with bleeding peptic ulcer admitted to our department. Planned second look endoscopy and repeated sclerotherapy was standard care. We found 15 of the 70 patients to rebleed after initial sclerotherapy. Overall success rate of endoscopic therapy was 63/70 patients (90%). The most important factor predicting rebleeding was the occurrence of active bleeding at the initial endoscopy. Compared with an expected rebleeding rate derived from the literature of 20-25 patients, the present study suggests a beneficial effect on rebleeding rate of planned second look endoscopy. Future controlled trials should verify this hypothesis.